Endovascular Repair of a Juxtarenal Abdominal Aortic Aneurysm Using a
Chimney Graft |
Darae Kim1, Young-Guk Ko1, Do-Yun Lee2, Donghoon Choi1 |
1Division of Cardiology, Departments of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea 2Radiology, Yonsei University College of Medicine, Seoul, Korea |
신동맥에 접한 복부대동맥류에서 굴뚝형 이식편을 이용한
혈관내 치료 |
김다래1, 고영국1, 이도연2, 최동훈1 |
1연세대학교 의과대학 내과학교실 심장내과 2연세대학교 의과대학 영상의학교실 |
Correspondence:
Young-Guk Ko, Tel: +82-2-2228-8460, Fax: +82-2-2227-7732, Email: Ygko@yuhs.ac |
Received: 31 December 2012 • Revised: 4 March 2013 • Accepted: 6 March 2013 |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits
unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Abstract |
An endovascular repair of an abdominal aortic aneurysm (AAA) is technically less invasive than open surgery, but gives results as effective as open surgery if the anatomy is adequate. Unfortunately, 20-30% of AAA patients are not suitable for endovascular repair because they lack a sufficient proximal landing zone. In an effort to broaden the applicability of endovascular repair, the chimney technique has been introduced. This refers to deployment of a covered or bare-metal stent parallel to the main aortic endograft within the aneurysm, creating a conduit that runs outside the main aortic endograft into the aortic branches. We report the case of a 75-year-old male with a juxtarenal abdominal aortic aneurysm and multiple comorbidities who was treated successfully with an endovascular aneurysm repair using a chimney graft. (Korean J Med 2014;86:213-217) |
Key Words:
Abdominal aortic aneurysm; Endovascular techniques |
주제어:
복부대동맥; 혈관내 치료 |
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