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Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation  Juan C. Parodi, MD, Luis Mariano.

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Presentation on theme: "Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation  Juan C. Parodi, MD, Luis Mariano."— Presentation transcript:

1 Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation  Juan C. Parodi, MD, Luis Mariano Ferreira, MD, Horacio Faella, MD, Ricardo La Mura, MD, Erik Ruslender, MD, German Henestrosa, MD  Journal of Vascular Surgery  Volume 45, Issue 6, Pages (June 2007) DOI: /j.jvs Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative computed tomography scans reveal a 7-cm thoracic aneurysm, and a stenosis at the level of the angioplasty. The left vertebral artery takes off of the aortic arch. ACo, Aortic Coarctation; LSA, left subclavian artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Cheatham-Platinum stent and polytetrafluoroethylene (PTFE)-covered stent and the BIB double balloon: (a) bare platinum-iridium stent expanded, (b) same crimped, (c) stent crimped and covered with PTFE, (d) stent graft combination expanded, and (e) BIB double balloon. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 a, Preoeprative angiogram (LCA, Left coronary artery; LVA, left vertebral artery; ACo, Aortic Coarctation), (b) first stent graft deployed, (c) second stent graft in position (telescoped balloon expandable covered stenting was done to extended and stabilized the proximal part of the endograft), and (d) the final angiogram. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Computed tomography scan reveals a well-apposed endograft with no evidence of endoleak. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

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