Staged endovascular stent grafts for concurrent mobile/ulcerated thrombi of thoracic and abdominal aorta causing recurrent spontaneous distal embolization

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Presentation transcript:

Staged endovascular stent grafts for concurrent mobile/ulcerated thrombi of thoracic and abdominal aorta causing recurrent spontaneous distal embolization Wayne W. Zhang, MD, Ahmed M. Abou-Zamzam, MD, Mazen Hashisho, MD, J. David Killeen, MD, Christian Bianchi, MD, Theodore H. Teruya, MD Journal of Vascular Surgery Volume 47, Issue 1, Pages 193-196 (January 2008) DOI: 10.1016/j.jvs.2007.07.050 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography (CT) scan with intravenous contrast showed a mobile thrombus attached to the medial wall of the descending thoracic aorta. Journal of Vascular Surgery 2008 47, 193-196DOI: (10.1016/j.jvs.2007.07.050) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 CT scan revealed ulcerated thrombus in the infrarenal abdominal aorta. Journal of Vascular Surgery 2008 47, 193-196DOI: (10.1016/j.jvs.2007.07.050) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 Intravascular ultrasound (IVUS) located the mobile thrombus attached to the medial wall of the descending thoracic aorta (arrow), which was consistent with the CT findings. Journal of Vascular Surgery 2008 47, 193-196DOI: (10.1016/j.jvs.2007.07.050) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 Follow-up CT scan with reconstruction demonstrated that the stent grafts were in good position (A); and thoracic and abdominal thrombi were completely excluded (B). Journal of Vascular Surgery 2008 47, 193-196DOI: (10.1016/j.jvs.2007.07.050) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions