Limb occlusion after endovascular repair of an abdominal aortic aneurysm: beware the narrow distal aorta
被引:20
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作者:
O'Neill, Stephen
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机构:
Royal Victoria Hosp, Dept Vasc & Endovasc Surg, Belfast BT12 6BA, Antrim, North Ireland
Belfast Hlth & Social Care Trust, Royal Victoria Hosp, Reg Vasc Surg Unit, Belfast, Antrim, North IrelandRoyal Victoria Hosp, Dept Vasc & Endovasc Surg, Belfast BT12 6BA, Antrim, North Ireland
O'Neill, Stephen
[1
,2
]
Collins, Anton
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机构:
Belfast Hlth & Social Care Trust, Royal Victoria Hosp, Reg Vasc Surg Unit, Belfast, Antrim, North IrelandRoyal Victoria Hosp, Dept Vasc & Endovasc Surg, Belfast BT12 6BA, Antrim, North Ireland
Collins, Anton
[2
]
Harkin, Denis
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机构:
Belfast Hlth & Social Care Trust, Royal Victoria Hosp, Reg Vasc Surg Unit, Belfast, Antrim, North IrelandRoyal Victoria Hosp, Dept Vasc & Endovasc Surg, Belfast BT12 6BA, Antrim, North Ireland
Harkin, Denis
[2
]
机构:
[1] Royal Victoria Hosp, Dept Vasc & Endovasc Surg, Belfast BT12 6BA, Antrim, North Ireland
[2] Belfast Hlth & Social Care Trust, Royal Victoria Hosp, Reg Vasc Surg Unit, Belfast, Antrim, North Ireland
This case aims to highlight the need for careful scrutiny of the distal aorta during endovascular aneurysm repair (EVAR) planning to avoid potentially avoidable graft limb occlusion. We present a case of graft limb occlusion after EVAR, unresponsive to endovascular re-intervention requiring surgical extra-anatomic revascularization, due to a narrow distal aorta causing graft impingement and collapse. We suggest clinicians should be aware of this potential pitfall during EVAR planning and beware the narrow distal aorta.
机构:
Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, NL-3508 GA Utrecht, NetherlandsUniv Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, NL-3508 GA Utrecht, Netherlands
机构:
Massachusetts Gen Hosp, Dept Anesthesia & Crit Care, 55 Fruit St, Boston, MA 02214 USAMassachusetts Gen Hosp, Dept Anesthesia & Crit Care, 55 Fruit St, Boston, MA 02214 USA
Riddell, J. Mark
Black, James H.
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机构:
Massachusetts Gen Hosp, Div Vasc Surg, Boston, MA 02214 USAMassachusetts Gen Hosp, Dept Anesthesia & Crit Care, 55 Fruit St, Boston, MA 02214 USA
Black, James H.
Brewster, David C.
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机构:
Massachusetts Gen Hosp, Div Vasc Surg, Boston, MA 02214 USAMassachusetts Gen Hosp, Dept Anesthesia & Crit Care, 55 Fruit St, Boston, MA 02214 USA
Brewster, David C.
Dunn, Peter F.
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机构:Massachusetts Gen Hosp, Dept Anesthesia & Crit Care, 55 Fruit St, Boston, MA 02214 USA
机构:
Royal Prince Alfred Hosp, Dept Vasc Surg, Missenden Rd, Camperdown, NSW 2050, Australia
Univ Sydney, Fac Surg, Sydney, NSW, AustraliaRoyal Prince Alfred Hosp, Dept Vasc Surg, Missenden Rd, Camperdown, NSW 2050, Australia
Rajendran, Saissan
May, James
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机构:
Royal Prince Alfred Hosp, Dept Vasc Surg, Missenden Rd, Camperdown, NSW 2050, Australia
Univ Sydney, Fac Surg, Sydney, NSW, AustraliaRoyal Prince Alfred Hosp, Dept Vasc Surg, Missenden Rd, Camperdown, NSW 2050, Australia
机构:
No Gen Hosp, Sheffield Kidney Inst, Div Renal Transplantat, Sheffield S5 7AU, S Yorkshire, EnglandNo Gen Hosp, Sheffield Kidney Inst, Div Renal Transplantat, Sheffield S5 7AU, S Yorkshire, England
Shrestha, B. M.
McKane, W. S.
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No Gen Hosp, Sheffield Kidney Inst, Div Renal Transplantat, Sheffield S5 7AU, S Yorkshire, EnglandNo Gen Hosp, Sheffield Kidney Inst, Div Renal Transplantat, Sheffield S5 7AU, S Yorkshire, England
McKane, W. S.
Raftery, A. T.
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机构:
No Gen Hosp, Sheffield Kidney Inst, Div Renal Transplantat, Sheffield S5 7AU, S Yorkshire, EnglandNo Gen Hosp, Sheffield Kidney Inst, Div Renal Transplantat, Sheffield S5 7AU, S Yorkshire, England