Endovascular Treatment of a Tuberculous Thoracoabdominal Aneurysm With the Multilayer Stent

Abstract

In this young patient, the endovascular treatment of a thoracoabdominal aneurysm with an uncovered stent made it possible to stabilize the aneurysm process without exposing the patient to the high morbidity and mortality of open surgery.

Flow-diverting stents for the treatment of arterial aneurysms

“…[6][7][8][9] Two were included in the analysis. 7,9 Of 14 articles that we considered, 12 reported the use of FDSs in arterial aneurysms (Table I), 1,7,[9][10][11][12][13][14][15][16][17][18] one in thoracoabdominal dissection, 19 and one in carotid blowout syndrome. 20 The full texts of these articles were retrieved and reviewed.…”

Endovascular Stent Graft Repair of Multiple Tuberculous Thoracoabdominal Aneurysms

“…Less than five cases of multiple tuberculous aortic aneurysms have been reported (1)(2)(3)(4). Surgical treatment was performed in three reports and a 16-year-old girl was treated with a multi-layered stent.…”

“…Multiple tuberculous aneurysms of the aorta are extremely rare and fewer than five cases have been reported (1)(2)(3)(4). If patients with a tuberculous aortic aneurysm are not treated properly, they may die due to aneurysm rupture.…”

Alterations of blood flow pattern after triple stent endovascular treatment of saccular abdominal aortic aneurysm: a porcine model.

“…Studies have focused on the deterioration of the currently marketed prosthetic material, which is made by the association of a metal structure with PTFE or polyester coating [8][9][10] . Thus arises a new therapeutic method, based on experimental haemodynamic studies, the multilayered stents: uncoated metal prostheses, capable of promoting redirection of blood flow within the aneurysm sac, preventing its expansion and rupture, even without total flow abolition in the aneurysmal sac [8][9][10][11][12][13][14] .…”

“…Thus arises a new therapeutic method, based on experimental haemodynamic studies, the multilayered stents: uncoated metal prostheses, capable of promoting redirection of blood flow within the aneurysm sac, preventing its expansion and rupture, even without total flow abolition in the aneurysmal sac [8][9][10][11][12][13][14] .…”