Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: A 10-year experience William Quinones-Baldrich, MD, Juan Carlos.

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Presentation transcript:

Combined endovascular and surgical approach (CESA) to thoracoabdominal aortic pathology: A 10-year experience William Quinones-Baldrich, MD, Juan Carlos Jimenez, MD, Brian DeRubertis, MD, Wesley S. Moore, MD Journal of Vascular Surgery Volume 49, Issue 5, Pages 1125-1134 (May 2009) DOI: 10.1016/j.jvs.2008.12.003 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 A, transesophageal echocardiography used during the second stage deployment of the endovascular grafts. B, in this particular case, the endograft was deployed in the false lumen as identified by the transesophageal echo, between the previously placed proximal descending thoracic aortic graft, and an infrarenal aortic graft placed during the first stage of the procedure. Journal of Vascular Surgery 2009 49, 1125-1134DOI: (10.1016/j.jvs.2008.12.003) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative picture of a first stage procedure with retrograde grafts to both renal arteries, the superior mesenteric artery, and the celiac artery. Note the placement of a conduit that was left in the subcutaneous tissue and successfully used during the second stage. Marker clips are placed to help fluoroscopically identify the most distal landing site for the endografts during the second stage of the procedure. R, right; SMA, superior mesenteric artery. Journal of Vascular Surgery 2009 49, 1125-1134DOI: (10.1016/j.jvs.2008.12.003) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 Computed tomography (CT) scan with three-dimensional reconstruction 10 years after endovascular and surgical repair of a type IV thoracoabdominal aneurysm performed in 1998 and reported in 1999 (see text). Journal of Vascular Surgery 2009 49, 1125-1134DOI: (10.1016/j.jvs.2008.12.003) Copyright © 2009 Society for Vascular Surgery Terms and Conditions