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Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks  Zoran Rancic, MD, PhD, Thomas Pfammatter,

Published byHannu-Pekka Honkanen Modified over 6 years ago

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Presentation on theme: "Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks  Zoran Rancic, MD, PhD, Thomas Pfammatter,"— Presentation transcript:

1 Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks  Zoran Rancic, MD, PhD, Thomas Pfammatter, MD, Mario Lachat, MD, Lukas Hechelhammer, MD, Thomas Frauenfelder, MD, Frank J. Veith, MD, Frank J. Criado, MD, Dieter Mayer, MD  Journal of Vascular Surgery  Volume 51, Issue 5, Pages (May 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 Fig 1 The periscope technique. A, The stent grafts to the target aortic branches and the aortic endograft are positioned but still not deployed. B, The aortic endograft is deployed first. C, All stent grafts are deployed and balloon dilated, allowing retrograde flow to the target arteries (red arrows); the branch stent grafts run coaxially between the aortic endograft and the aortic wall (small picture). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Ruptured thoracoabdominal aortic aneurysm (case 1; sagittal and coronal views). The inferior mesenteric artery (arrowhead) was responsible for the perfusion of all visceral organs. The right aberrant renal artery (arrow) supplied the single right pelvic kidney. B, Postoperative sagittal reconstruction after complete endovascular exclusion of the ruptured TAAA. The aneurysm is completely excluded from the circulation despite two periscope stent grafts. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Ruptured thoracoabdominal aortic aneurysm (case 2; three-dimesional reconstruction). B, Three-dimensional reconstruction showing the location of the periscope stent graft to the superior mesenteric artery (arrowhead) and to the celiac trunc (arrow) after six-month follow-up. C, Coronal view showing area of rupture with aortic dimension of 119 mm × 77 mm immediately after the intervention. Note that an endoleak (type Ib) is still present immediately after the intervention (fat arrow). D, Coronal view showing the same area six months after the intervention with a significantly reduced aortic dimension of 82 mm × 58 mm and no signs of sac perfusion (ie, endoleak). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

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