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The double two-chimney technique for complete renovisceral revascularization in a suprarenal aneurysm  Jip L. Tolenaar, MD, Herman J.A. Zandvoort, MD,

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Presentation on theme: "The double two-chimney technique for complete renovisceral revascularization in a suprarenal aneurysm  Jip L. Tolenaar, MD, Herman J.A. Zandvoort, MD,"— Presentation transcript:

1 The double two-chimney technique for complete renovisceral revascularization in a suprarenal aneurysm  Jip L. Tolenaar, MD, Herman J.A. Zandvoort, MD, Constatijn E.V.B. Hazenberg, MD, Frans L. Moll, MD, PhD, Joost A. van Herwaarden, MD, PhD  Journal of Vascular Surgery  Volume 58, Issue 2, Pages (August 2013) DOI: /j.jvs Copyright © 2013 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Preoperative computed tomography (CT) angiography reconstruction showing a suprarenal aneurysm, 6.3 cm in diameter. B, Postoperative CT angiography three-dimensional reconstruction showing total renovisceral revascularization with patent chimney grafts. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Schematic figure of the surgical procedure. A, After placement of the chimney grafts in the superior mesenteric artery (SMA) and celiac trunk, through the left brachial artery, a tube stent graft is deployed. B, The sheath from the left brachial artery is repositioned and chimney grafts are placed in both renal arteries; subsequently, the bifurcated stent graft is deployed. C, Overview of the double two-chimney technique with exclusion of a juxtarenal aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Computed tomography (CT) angiography transverse reconstruction after 4-month follow-up. The arrows indicate the chimney grafts in position in the superior mesenteric artery (SMA), celiac trunk, left renal artery, right renal artery, and the aortic lumen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

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