TY - JOUR
TI - Hepatorenal Revascularization Enables Endovascular Aneurysm Repair on a Patient with Abdominal Aortic Aneurysm and an Ectopic Right Renal Artery
AU - Lazaris, A.M.
AU - Moulakakis, K.
AU - Mantas, G.
AU - Poulou, K.
AU - Alexiou, E.
AU - Vasdekis, S.
AU - Geroulakos, G.
JO - Annals of Vascular Surgery
PY - 2018
VL - 52
TODO - null
SP - 316.e1-316.e5
PB - HANLEY & BELFUS-ELSEVIER INC
SN - 0890-5096
TODO - 10.1016/j.avsg.2018.03.044
TODO - heparin;  mannitol, abdominal aortic aneurysm;  abdominal injury;  abdominal pain;  aged;  artery blood flow;  Article;  case report;  clinical article;  colostomy;  computer assisted tomography;  diverticulitis;  end to side anastomosis;  endovascular aneurysm repair;  femoral artery;  hepatic artery;  hepatorenal revascularization;  human;  kidney artery;  kidney ischemia;  laparotomy;  male;  peritonitis;  priority journal;  revascularization;  abdominal aortic aneurysm;  abnormalities;  aortography;  blood flow;  blood vessel transplantation;  computed tomographic angiography;  diagnostic imaging;  endovascular surgery;  pathophysiology;  procedures;  treatment outcome, Aged;  Aortic Aneurysm, Abdominal;  Aortography;  Blood Vessel Prosthesis Implantation;  Computed Tomography Angiography;  Endovascular Procedures;  Hepatic Artery;  Humans;  Male;  Regional Blood Flow;  Renal Artery;  Treatment Outcome
TODO - In last 30 years, the endovascular aneurysm repair (EVAR) has become the standard method of treatment of abdominal aortic aneurysms (AAAs). Nevertheless, the method has limitations mainly based on the anatomic characteristics of the specific aneurysm. In these cases, a combination of endovascular and open techniques can be used. We describe a case of a patient with an infrarenal AAA and an ectopic right renal artery emerging from within the aneurysm sac. The patient was treated with a combination of endovascular and open techniques. In particular, he underwent a hepatorenal revascularization followed by a standard EVAR procedure, with a successful final outcome. For the treatment of AAA disease, the combination of open and endovascular procedures can overcome difficulties, where a standard EVAR cannot be an option. © 2018 Elsevier Inc.
ER -