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Case report

Endovascular repair of a complex symptomatic dissecting aneurysm of the superior mesenteric artery

Isolated dissection of the superior mesenteric artery (SMA) is rare and remains the most common reason for aneurysmal degeneration of the vessel. The treatment is challenging and not standardized. We present the case of a 50-year old male presented with a 3.3 cm dissecting aneurysm of the SMA and epigastric pain of moderate severity.

May 20, 2019 No Comments
Question to the Vascupedians

Pseudoaneurysm of a superior mesenteric artery branch with an artery-to-portal vein fistula.

This work could be of interest because the clinical scenario represents a rare entity. Moreover the endovascular technique of coil embolization required particular attention to avoid distal coils embolization into the portal vein due to the high-flow of the arterovenous fistula.

May 10, 2019 No Comments
Poll 01/03/2019 – 31/03/2019

The chronic mesenteric ischemia

Patient’s characteristics

 

Gender: Female

Age: 69 years old

Comorbidity: Arterial hypertension, Dyslipidemia, coronary heart disease (DES deployment 2 years ago)

Symptoms:  Postprandial pain

Previous abdominal operations: None

DUS: Occlusion of the superior mesenteric artery

Recorded video case

Use of endoanchors for EVAR sealing in case of ruptured AAA

63 y.o. patient treated in the emergency setting for ruptured AAA
Endovascular repair planned despite proximal hostile anatomy and left iliac aneurysm with thrombus.
procedure details:
-bilateral percutaneous access
-bifurcated endurant endograft implant (left hypogastric embolization)
-partial left renal artery coverage @ control angio (intentional aggressive deployment)
-renal stenting
-type Ia endoleak after renal stenting, persistent after re-ballooning
-endoleak correction with endoanchors

December 2, 2018 No Comments
Recorded video case

Giant proper hepatic aneurysm endovascular treatment with covered stent deployment

Total endovascular treatment of a huge visceral artery aneurysm (proper hepatic) with covered stent deployment.

-Flexor 6 Fr delivered into common hepatic artery
-Bentley BeGraft 8*37 mm positioned over Rosen guidewire and balloon inflated
-Patency of gastroduodenal artery and both efferent branches @ final angio
-Complete aneurysm exclusion with collateral's patency at control CT Scan

November 14, 2018 No Comments
Recorded video case

Step by step isolated aortomesenteric bypass for chronic visceral ischemia

This video summarizes in 3 minutes all important steps to perform an isolated antegrade aortomesenteric bypass. The patient had a chronic occlusion of the superior mesenteric artery and underwent a primary stenting of a high-grade stenosis of the celiac trunk (CT). The endovascular recanalization of the SMA at that time was not feasible. The CT-stent occluded 8 months postimplantation with a complete thrombosis of the hepatic artery as well. The splenic artery arose from the aorta directly.

November 8, 2018 2 Comments
Technical note

SMA occlusion: when open, when endo and how?

This presentation includes important clinical and anatomic issues, which play a relevant role in the decision making between open surgical and endovascular treatment of the SMA occlusion. Which technique is appropriate for open surgical revascularization? Which material should be used as bypass or patch? When should you go for an endovascular-first approach? Which kind of stents? Do we have evidence? All these questions are answered in this presentation.

June 16, 2018 No Comments
Recorded video case

Treatment of a TAAA with a low-profile branched endograft

This is a case of a thoracoabdominal aortic aneurysm treated by a low-profile branched endograft. In this video, you will find our algorithm for staging the aortic procedures, to reduce the risk of spinal cord ischemia, the steps of the procedure, important tips and tricks for a successful outcome and finally, the impact of the totally percutaneous approach for the quick recovery of the patient.

June 1, 2018 1 Comment
Recorded video case

Percutaneous thrombectomy of bridging stent-grafts after chEVAR

This case demonstrates the percutaneous transluminal thrombectomy of a bridging stent-graft after chEVAR. The clot removal was performed with the Indigo thrombectomy catheter (Penumbra) through a transaxillary approach. In this video, you will find important technical aspects as well as all relevant characteristics of the device.

May 24, 2018 6 Comments