Endovascular aortic repair of pararenal aortic aneurysm with multibranched stent-graft: First successful experience in Turkey Pararenal aort anevrizmasinda çok dalli stent-greft ile endovasküler aortik tamir: Türkiye'deki ilk başarili deneyim

Canyiğit M., UĞUZ E., Hidiroğlu M., Şener E.

Turkish Journal of Thoracic and Cardiovascular Surgery, vol.23, no.3, pp.561-565, 2015 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 23 Issue: 3
  • Publication Date: 2015
  • Doi Number: 10.5606/tgkdc.dergisi.2015.11301
  • Journal Name: Turkish Journal of Thoracic and Cardiovascular Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.561-565
  • Keywords: Endovascular aortic repair, Multibranched aortic stent-graft, Pararenal aortic aneurysm, T-Branch system
  • Ankara Yıldırım Beyazıt University Affiliated: Yes

Abstract

In this article, we present a 57-year-old male patient who underwent the first successful multibranched aortic stentgraft implantation in Turkey for total endovascular repair of pararenal aortic aneurysm. The patient was deemed unfit for open surgery due to his comorbidities and Cook Zenith® t-Branch™ aortic endograft implantation was planned. A staged procedure was preferred to allow time for collateralization to the spinal cord and prevent paraplegia. In the first procedure, Cook Zenith® t-Branch™, all visceral side branch covered stents, Cook Zenith® Unibody™, and ipsilateral limb graft were implanted. All target vessels were successfully connected without evidence of occlusion. In the second stage, contralateral iliac leg was placed. No organ ischemia or renal function deterioration were observed. Branch graft patency was 100% on sixth month computed tomographic angiography examination with a minimal type 2 endoleak which did not expand the aneurysmal sac.