Endovascular treatment of infrarenal occlusion of abdominal aorta

Papoyan, S.A.; Щеголев, А. А.; Kvitsaridze, B. A.; Krasnikov, A. P.; Mutaev, M. M.; Radchenko, A. N.; Громов, Д. Г.

doi:10.17116/kardio20169381-84

Kardiol. serdechno-sosud. khir.

2016

DOI: 10.17116/kardio20169381-84

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Endovascular treatment of infrarenal occlusion of abdominal aorta

S.A. Papoyan¹,

А. А. Щеголев²,

B. A. Kvitsaridze³

et al.

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Cited by 2 publications

References 15 publications

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Endovascular recanalization of chronic infrarenal aortic occlusion in a patient with two-vessel coronary artery disease: a case report

Чернявский¹,

Белова²,

Komakha³

et al. 2021

Russ J Cardiol

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A case report on endovascular treatment of occlusion of the infrarenal aorta and iliac arteries in a patient with hemodynamically significant two-vessel coronary artery disease is presented. After a thorough examination and assessment of surgical risks, a multidisciplinary team meeting chose a staged revascularization strategy: stage 1 — percutaneous coronary intervention in the left anterior descending artery and right coronary artery; stage 2 — endovascular recanalization of aorto-iliac segment occlusion using the kissing stents technique. There were no perioperative complications and the patient was discharged on the 4th day after surgery in a satisfactory condition. The choice in favor of these types of reconstruction and staged revascularization strategy was substantiated. A conclusion was made about the effectiveness and safety of implemented measures.

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Endovascular recanalization of chronic infrarenal aortic occlusion in a patient with two-vessel coronary artery disease: a case report

Чернявский¹,

Белова²,

Komakha³

et al. 2021

Russ J Cardiol

View full text Add to dashboard Cite

show abstract

Hybrid revascularization of chronic occlusion of the aorto-femoral segment in a patient with critical ischemia of the lower limbs and ischemic heart disease

Susanin

Chernyavsky

Vanyurkin

et al. 2022

Transl. med. (Print)

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Backgound. The number of patients with Leriche’s syndrome has increased dramatically. Despite the compensatory development of collaterals, this condition most often leads to symptoms of intermittent claudication and can result in critical ischemia and amputations. TASC II guidelines recommend reconstructive surgery, but this approach is associated with high perioperative mortality. So far, only few studies reported the results of endovascular correction of the atherogenic process in the infrarenal aorta.Objective. To present a clinical case of hybrid revascularization of the aortofemoral segment in a patient with ischemic heart disease.Design and methods. A 68-year-old patient with Leriche’s syndrome underwent ultrasound of the brachiocephalic arteries, coronary angiography, and multispiral computed tomography with angiography. Subsequently, hybrid surgery was performed.Results. Given the critical ischemia of the lower extremities and comorbidities, a hybrid surgical intervention was performed: endarterectomy from the femoral arteries and endovascular recanalization of the occlusion of the aortoiliac segment using the “kissing stents” technique.Conclusions. The requirements for equipment and experience of the surgical team limit the widespread use of hybrid correction of an occlusive lesion of the infrarenal aorta. The lack of randomized trials creates uncertainty in the choice of revascularization tactics. In the framework of this clinical case, the effectiveness of hybrid surgery in the treatment of a patient with multifocal atherosclerosis has been proven.

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Endovascular treatment of infrarenal occlusion of abdominal aorta

Cited by 2 publications

References 15 publications

Endovascular recanalization of chronic infrarenal aortic occlusion in a patient with two-vessel coronary artery disease: a case report

Endovascular recanalization of chronic infrarenal aortic occlusion in a patient with two-vessel coronary artery disease: a case report

Hybrid revascularization of chronic occlusion of the aorto-femoral segment in a patient with critical ischemia of the lower limbs and ischemic heart disease

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