Pub Date : 2024-09-26DOI: 10.1016/j.jvscit.2024.101641
Kenneth Han BA, Alyssa J. Pyun MD, Elizabeth Miranda MD, MPH, Fernando Fleischman MD, Sukgu M. Han MD, MS
Thoracic endovascular aortic repair has become the first-line treatment modality for descending thoracic aortic diseases. Coverage of the aortic arch branches is often required to extend the proximal seal zones during thoracic endovascular aortic repair. The thoracic branch endoprosthesis (TBE) is the first US Food and Drug Administration-approved branched device for thoracic endovascular repair allowing for incorporation of the left subclavian artery. Type IA endoleak after zone 2 TBE as well as its rescue options have not been well-described. In this report, we describe two cases of failed zone 2 TBE with a type IA endoleak, rescued with proximal extension zone 0 TBE to create a sandwiched double TBE configuration. Technical considerations as well as the limitations of this technique are discussed.
胸腔内主动脉修补术已成为降主动脉疾病的一线治疗方式。在胸腔内主动脉修补术中，通常需要覆盖主动脉弓分支以扩大近端密封区。胸腔分支内假体（TBE）是首个获得美国食品药品管理局批准的用于胸腔内血管修复的分支装置，可纳入左锁骨下动脉。2 区 TBE 术后的 IA 型内漏及其抢救方案尚未得到很好的描述。在本报告中，我们描述了两例 2 区 TBE 失败并伴有 IA 型内漏的病例，这些病例通过近端延伸 0 区 TBE 进行抢救，形成了夹层双 TBE 结构。本文讨论了该技术的技术考虑因素和局限性。
{"title":"Double thoracic branch endoprosthesis to repair type IA endoleak after zone 2 thoracic branch endoprosthesis","authors":"Kenneth Han BA, Alyssa J. Pyun MD, Elizabeth Miranda MD, MPH, Fernando Fleischman MD, Sukgu M. Han MD, MS","doi":"10.1016/j.jvscit.2024.101641","DOIUrl":"10.1016/j.jvscit.2024.101641","url":null,"abstract":"<div><div>Thoracic endovascular aortic repair has become the first-line treatment modality for descending thoracic aortic diseases. Coverage of the aortic arch branches is often required to extend the proximal seal zones during thoracic endovascular aortic repair. The thoracic branch endoprosthesis (TBE) is the first US Food and Drug Administration-approved branched device for thoracic endovascular repair allowing for incorporation of the left subclavian artery. Type IA endoleak after zone 2 TBE as well as its rescue options have not been well-described. In this report, we describe two cases of failed zone 2 TBE with a type IA endoleak, rescued with proximal extension zone 0 TBE to create a sandwiched double TBE configuration. Technical considerations as well as the limitations of this technique are discussed.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-21DOI: 10.1016/j.jvscit.2024.101639
Richard S. Whitlock MD , Vivek A. Patel MD , Joseph L. Mills Sr. MD , Zachary S. Pallister MD , Ramyar Gilani MD
This article has been withdrawn at the request of the editor and publisher.
The publisher regrets that an error occurred which led to the premature publication of this paper. This error bears no reflection on the article or its authors. The publisher apologizes to the authors and the readers for this unfortunate error.
The full Elsevier Policy on Article Withdrawal can be found at (https://www.elsevier.com/about/policies/article-withdrawal).
{"title":"Withdrawal notice to: Utilization of arterial transposition for vascular reconstruction within contaminated or infected abdominal fields [J Vasc Surg Cases Innov Tech (2023) 101104]","authors":"Richard S. Whitlock MD , Vivek A. Patel MD , Joseph L. Mills Sr. MD , Zachary S. Pallister MD , Ramyar Gilani MD","doi":"10.1016/j.jvscit.2024.101639","DOIUrl":"10.1016/j.jvscit.2024.101639","url":null,"abstract":"<div><div>This article has been withdrawn at the request of the editor and publisher.</div><div>The publisher regrets that an error occurred which led to the premature publication of this paper. This error bears no reflection on the article or its authors. The publisher apologizes to the authors and the readers for this unfortunate error.</div><div>The full Elsevier Policy on Article Withdrawal can be found at (<span><span>https://www.elsevier.com/about/policies/article-withdrawal</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142447003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edwardsiella tarda is a gram-negative bacillus that is typically found in freshwater environments and the feces of reptiles. A 48-year-old woman with Marfan's syndrome presented to our hospital with fever, nausea, and general fatigue. She had previously undergone a mechanical Bentall procedure and total aortic arch replacement for acute type A aortic dissection. E tarda was identified from the blood culture. Computed tomography scanning revealed a mycotic aneurysm of the dissecting descending aorta. Despite appropriate intravenous antibiotic therapy, the aneurysm dilated rapidly. Thus, an emergency surgery was performed to replace the descending aorta with a graft that was surrounded by a latissimus dorsi muscle flap. Her postoperative course was uneventful.
塔尔达爱德华氏菌（Edwardsiella tarda）是一种革兰氏阴性杆菌，通常存在于淡水环境和爬行动物的粪便中。一名患有马凡氏综合征的 48 岁女性因发烧、恶心和全身乏力到我院就诊。她曾因急性 A 型主动脉夹层接受过机械本塔尔手术和全主动脉弓置换术。从血液培养中发现了 E tarda。计算机断层扫描显示，夹层降主动脉上有一个霉菌性动脉瘤。尽管进行了适当的静脉抗生素治疗，动脉瘤还是迅速扩张。因此，医生为她进行了紧急手术，用背阔肌肌皮瓣环绕的移植物取代了降主动脉。她的术后恢复顺利。
{"title":"Rapid dilatation of mycotic aneurysm of dissecting aorta caused by Edwardsiella tarda","authors":"Naoto Fukunaga MD, PhD, Tatsuto Wakami MD, Akio Shimoji MD, Otohime Mori MD, Kosuke Yoshizawa MD, Nobushige Tamura MD, PhD","doi":"10.1016/j.jvscit.2024.101640","DOIUrl":"10.1016/j.jvscit.2024.101640","url":null,"abstract":"<div><div><em>Edwardsiella tarda</em> is a gram-negative bacillus that is typically found in freshwater environments and the feces of reptiles. A 48-year-old woman with Marfan's syndrome presented to our hospital with fever, nausea, and general fatigue. She had previously undergone a mechanical Bentall procedure and total aortic arch replacement for acute type A aortic dissection. <em>E tarda</em> was identified from the blood culture. Computed tomography scanning revealed a mycotic aneurysm of the dissecting descending aorta. Despite appropriate intravenous antibiotic therapy, the aneurysm dilated rapidly. Thus, an emergency surgery was performed to replace the descending aorta with a graft that was surrounded by a latissimus dorsi muscle flap. Her postoperative course was uneventful.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jvscit.2024.101636
Ben Christopher Caputo MD , Lemuel Kirby MD
Percutaneous mechanical and aspiration thrombectomy techniques are increasingly being employed to treat acute iliofemoral deep venous thrombosis. Although procedural complications are rare, the incidence of inadvertent iatrogenic arteriovenous fistula (AVF) formation after endovenous mechanical thrombectomy remains unknown. Herein, we report the case of an 85-year-old morbidly obese female with multiple comorbidities referred for an edematous, cyanotic, and pulseless left lower extremity secondary to an iatrogenic femorofemoral AVF. The AVF was successfully treated via a unique through-and-through access technique by ensnarement and subsequent flossing within the injured vein.
{"title":"Iatrogenic arteriovenous fistula after endovenous mechanical thrombectomy","authors":"Ben Christopher Caputo MD , Lemuel Kirby MD","doi":"10.1016/j.jvscit.2024.101636","DOIUrl":"10.1016/j.jvscit.2024.101636","url":null,"abstract":"<div><div>Percutaneous mechanical and aspiration thrombectomy techniques are increasingly being employed to treat acute iliofemoral deep venous thrombosis. Although procedural complications are rare, the incidence of inadvertent iatrogenic arteriovenous fistula (AVF) formation after endovenous mechanical thrombectomy remains unknown. Herein, we report the case of an 85-year-old morbidly obese female with multiple comorbidities referred for an edematous, cyanotic, and pulseless left lower extremity secondary to an iatrogenic femorofemoral AVF. The AVF was successfully treated via a unique through-and-through access technique by ensnarement and subsequent flossing within the injured vein.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jvscit.2024.101642
Donald T. Baril MD
{"title":"Early graft failure following lower extremity bypass","authors":"Donald T. Baril MD","doi":"10.1016/j.jvscit.2024.101642","DOIUrl":"10.1016/j.jvscit.2024.101642","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jvscit.2024.101635
Maciej Gołębiowski , Mariusz Kusztal MD, PhD , Maciej Szymczak MD, PhD , Andrzej Konieczny MD, PhD , Mirosław Banasik MD, PhD , Dariusz Janczak MD, PhD , Pierre Bourquelot MD, PhD , Tomasz Gołębiowski MD, PhD
The purpose of this manuscript is to describe the clinical course of a 66-year-old patient with chronic kidney disease due to focal segmental glomerulosclerosis in whom an access arteriovenous fistula was created in the anatomical snuffbox. At discharge, the fistula thrill was normal. Two months later, a duplex examination revealed previously unrecognized obstruction of the mid-forearm segment of the cephalic vein; flow was maintained by a perforator into the deep venous system, which returned blood to the upper arm cephalic vein above the occlusion. A second, subsequent radiocephalic anastomosis was performed in the wrist to augment flow. The fistula was successfully cannulated after 12 weeks of maturation.
{"title":"The role of a distal forearm perforating vein and deep vein system in supporting patency of a snuffbox fistula – A case report","authors":"Maciej Gołębiowski , Mariusz Kusztal MD, PhD , Maciej Szymczak MD, PhD , Andrzej Konieczny MD, PhD , Mirosław Banasik MD, PhD , Dariusz Janczak MD, PhD , Pierre Bourquelot MD, PhD , Tomasz Gołębiowski MD, PhD","doi":"10.1016/j.jvscit.2024.101635","DOIUrl":"10.1016/j.jvscit.2024.101635","url":null,"abstract":"<div><div>The purpose of this manuscript is to describe the clinical course of a 66-year-old patient with chronic kidney disease due to focal segmental glomerulosclerosis in whom an access arteriovenous fistula was created in the anatomical snuffbox. At discharge, the fistula thrill was normal. Two months later, a duplex examination revealed previously unrecognized obstruction of the mid-forearm segment of the cephalic vein; flow was maintained by a perforator into the deep venous system, which returned blood to the upper arm cephalic vein above the occlusion. A second, subsequent radiocephalic anastomosis was performed in the wrist to augment flow. The fistula was successfully cannulated after 12 weeks of maturation.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jvscit.2024.101633
Marcin Geremek MD, PhD, Krzystof Bojakowski MD, PhD, Wojciech Jagodziński MD
Acute gastric dilatation leading to compromised vascular visceral vascular flow is an exceptionally rare complication typically described in patients with bulimia or anorexia following binge episodes. We present a fatal case involving a non-bulimic patient who experienced an acute gastric dilatation secondary to pyloric stenosis. Despite intensive treatment, the patient succumbed to complications arising from acute reperfusion syndrome. Managing such patients is highly challenging, and the prognosis is often poor, as supported by the limited reports available in the literature.
{"title":"Acute abdominal aortic occlusion due to gastric dilatation caused by pyloric stenosis in a 62-year-old patient","authors":"Marcin Geremek MD, PhD, Krzystof Bojakowski MD, PhD, Wojciech Jagodziński MD","doi":"10.1016/j.jvscit.2024.101633","DOIUrl":"10.1016/j.jvscit.2024.101633","url":null,"abstract":"<div><div>Acute gastric dilatation leading to compromised vascular visceral vascular flow is an exceptionally rare complication typically described in patients with bulimia or anorexia following binge episodes. We present a fatal case involving a non-bulimic patient who experienced an acute gastric dilatation secondary to pyloric stenosis. Despite intensive treatment, the patient succumbed to complications arising from acute reperfusion syndrome. Managing such patients is highly challenging, and the prognosis is often poor, as supported by the limited reports available in the literature.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jvscit.2024.101634
Hai-Lei Li MD, PhD , Dong-Zhe Cui MD , Yiu Che Chan MBBS, MD, FRCS, FCSHK , Siu-Chung Tam MBBS, FRCS, FCSHK , Stephen W. Cheng MBBS, MS, FRCS, FCSHK
A 64-year-old man presented with severe intermittent claudication for 4 weeks. Computed tomography angiography showed aortoiliac occlusion. Aortoiliac thrombectomy and followed by covered endovascular reconstruction of aortic bifurcation was performed successfully. On-table fenestration technique was used for preservation of inferior mesenteric artery (IMA) to minimize the risk of bowel ischemia. A follow-up computed tomography scan at 6 weeks showed aortoiliac artery and IMA were patent and patient was asymptomatic at 6 months follow-up. Comprehensive management with thrombectomy, covered endovascular reconstruction of the aortic bifurcation, and concurrent on-table fenestration for IMA preservation was an alternative novel, effective, and safe approach for treatment of complex aortoiliac occlusion.
一名 64 岁的男子因严重间歇性跛行就诊 4 周。计算机断层扫描血管造影显示主动脉髂骨闭塞。成功实施了主动脉髂血栓切除术，随后又进行了主动脉分叉有盖血管内重建术。为了最大限度地降低肠缺血的风险，手术采用了台上栅栏技术来保留肠系膜下动脉（IMA）。6 周后的随访计算机断层扫描显示，主动脉髂动脉和肠系膜下动脉均通畅，随访 6 个月后患者无任何症状。采用血栓切除术、主动脉分叉的覆盖式血管内重建术和同时进行的保留 IMA 的台式瓣膜切除术进行综合治疗，是治疗复杂主动脉髂动脉闭塞的另一种新颖、有效和安全的方法。
{"title":"Combination of covered endovascular reconstruction of aortic bifurcation technique and on-table fenestration to preserve inferior mesenteric artery in the treatment of subacute infrarenal aortoiliac occlusion","authors":"Hai-Lei Li MD, PhD , Dong-Zhe Cui MD , Yiu Che Chan MBBS, MD, FRCS, FCSHK , Siu-Chung Tam MBBS, FRCS, FCSHK , Stephen W. Cheng MBBS, MS, FRCS, FCSHK","doi":"10.1016/j.jvscit.2024.101634","DOIUrl":"10.1016/j.jvscit.2024.101634","url":null,"abstract":"<div><div>A 64-year-old man presented with severe intermittent claudication for 4 weeks. Computed tomography angiography showed aortoiliac occlusion. Aortoiliac thrombectomy and followed by covered endovascular reconstruction of aortic bifurcation was performed successfully. On-table fenestration technique was used for preservation of inferior mesenteric artery (IMA) to minimize the risk of bowel ischemia. A follow-up computed tomography scan at 6 weeks showed aortoiliac artery and IMA were patent and patient was asymptomatic at 6 months follow-up. Comprehensive management with thrombectomy, covered endovascular reconstruction of the aortic bifurcation, and concurrent on-table fenestration for IMA preservation was an alternative novel, effective, and safe approach for treatment of complex aortoiliac occlusion.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142438019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jvscit.2024.101637
Florent Porez MD, Antoine Gaudin MD, Dominique Fabre MD, PhD, Alessandro Costanzo MD, Lucas Le Guillou MD, Stéphan Haulon MD, PhD
We describe a rare case of acute occlusion of the abdominal aorta presenting as a rapidly evolving flaccid paraplegia owing to spinal cord ischemia and our management protocol that allowed complete recovery of the patient. A 70-year-old man who was referred to our department with painless lower limb loss of sensory and motor function. Endovascular recanalization was performed using a covered stent. The patient was discharged 4 days after the procedure with full recovery of neurological symptoms. Rapid aortic endovascular revascularization to restore flow to the pelvis and lower limbs, associated with spinal cord ischemia protocols, is critical for full recovery.
{"title":"Acute abdominal aortic occlusion associated with transient paraplegia","authors":"Florent Porez MD, Antoine Gaudin MD, Dominique Fabre MD, PhD, Alessandro Costanzo MD, Lucas Le Guillou MD, Stéphan Haulon MD, PhD","doi":"10.1016/j.jvscit.2024.101637","DOIUrl":"10.1016/j.jvscit.2024.101637","url":null,"abstract":"<div><div>We describe a rare case of acute occlusion of the abdominal aorta presenting as a rapidly evolving flaccid paraplegia owing to spinal cord ischemia and our management protocol that allowed complete recovery of the patient. A 70-year-old man who was referred to our department with painless lower limb loss of sensory and motor function. Endovascular recanalization was performed using a covered stent. The patient was discharged 4 days after the procedure with full recovery of neurological symptoms. Rapid aortic endovascular revascularization to restore flow to the pelvis and lower limbs, associated with spinal cord ischemia protocols, is critical for full recovery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142432112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-19DOI: 10.1016/j.jvscit.2024.101632
Kenneth Han BA, Alyssa Pyun MD, Sukgu M. Han MD, MS
The Thoracoabdominal Multibranch Endoprosthesis (TAMBE) is a commercially available off-the-shelf four-vessel inner branched endograft for complex abdominal and thoracoabdominal aortic aneurysms. As post-dissection thoracoabdominal aortic aneurysms (PD-TAAAs) were excluded from the pivotal trials, there is paucity of data on the use of TAMBE in PD-TAAAs. Here, we present a case demonstrating the feasibility of TAMBE in conjunction with iliac branch endoprosthesis to repair PD-TAAAs, with focus on the deployment technique specific to PD-TAAAs.
{"title":"Modified deployment technique of off-the-shelf Gore thoracoabdominal multibranch endoprosthesis for post-dissection thoracoabdominal aortic aneurysm repair","authors":"Kenneth Han BA, Alyssa Pyun MD, Sukgu M. Han MD, MS","doi":"10.1016/j.jvscit.2024.101632","DOIUrl":"10.1016/j.jvscit.2024.101632","url":null,"abstract":"<div><div>The Thoracoabdominal Multibranch Endoprosthesis (TAMBE) is a commercially available off-the-shelf four-vessel inner branched endograft for complex abdominal and thoracoabdominal aortic aneurysms. As post-dissection thoracoabdominal aortic aneurysms (PD-TAAAs) were excluded from the pivotal trials, there is paucity of data on the use of TAMBE in PD-TAAAs. Here, we present a case demonstrating the feasibility of TAMBE in conjunction with iliac branch endoprosthesis to repair PD-TAAAs, with focus on the deployment technique specific to PD-TAAAs.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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