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Titolo:
Endovascular repair of an innominate artery true aneurysm
Autore:
Puech-Leao, P; Orra, HA;
Indirizzi:
Univ Sao Paulo, Div Vasc Surg, Fac Med, BR-05508 Sao Paulo, Brazil Univ Sao Paulo Sao Paulo Brazil BR-05508 Med, BR-05508 Sao Paulo, Brazil
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 4, volume: 8, anno: 2001,
pagine: 429 - 432
SICI:
1526-6028(200108)8:4<429:EROAIA>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Keywords:
brachiocephalic trunk; stent-graft; Palmaz stent; subclavian artery; cerebral embolization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Puech-Leao, P Rua Barata Ribeiro 237,CJ 131, BR-01308000 Sao Paulo, Brazil Rua Barata Ribeiro 237,CJ 131 Sao Paulo Brazil BR-01308000 BC
Citazione:
P. Puech-Leao e H.A. Orra, "Endovascular repair of an innominate artery true aneurysm", J ENDOVAS T, 8(4), 2001, pp. 429-432

Abstract

Purpose: To describe endovascular repair of a large aneurysm of the innominate artery in a patient with episodes of transient cerebral ischemia. Case Report., A 44-year-old man with a history of transient hemiparesis and aphasia demonstrated a large mass in the upper right hemithorax on chest radiography. Systolic brachial pressure in the right arm was 100 mm Hg versus 130 mm Hg in the left. Imaging disclosed a large 12-mm-diameter aneurysminvolving the brachiocephalic trunk 1 cm above its origin and the first portion of the right subclavian artery, which was occluded after the dilated segment. The aneurysm was treated with a tapered endograft made from polyester graft attached to a Palmaz stent inserted via a carotid artery arteriotomy. The distal end of the graft was anastomosed to the common carotid artery. Completion angiography showed exclusion of the aneurysm, which has beenconfirmed by imaging at 21 months. After 2 years, the patient is free fromneurological symptoms and has a strong carotid pulse; no arm claudication developed. Conclusions: Endovascular correction of innominate artery aneurysms is feasible whenever there is an adequate proximal neck for attachment. In these cases, thoracotomy may be avoided.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 15:09:57