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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899

Periodicità: Bimestrale

ISSN 0392-9590

Online ISSN 1827-1839


International Angiology 2009 Giugno;28(3):238-40


Transcarotideal access for endovascular repair of descending thoracic aortic aneurysm with intentional coverage of celiac artery

Faccenna F. 1, Gattuso R. 1, Alunno A. 1, Felli M. M. G. 1, Castiglione A. 1, Irace L. 1, Antignani P. L. 2, Gossetti B. 1

1 Department of Vascular Surgery, Policlinico Umberto I, University of Rome “La Sapienza”, Rome, Italy
2 Department of Angiology, Ospedale San Giovanni Addolorata, Rome, Italy

Endovascular treatment of thoracic and thoraco-abdominal aortic aneurysm with celiac artery ostium coverage, seems to be safe according to the literature. We present a case in which the endograft deployement was achieved through a right common carotid artery access because four years before the patient was submitted to an axillo-bifemoral bypass with aortic graft removal and aortic stump ligature for infection. After endovascular repair the patient suffered from spinal cord ischemia, acute pancreatitis and spleen infarction. Probably, the new pancreatic event has been triggered by temporary visceral ischemia, acting on a pancreas damaged by a previous acute hemorrhagic pancreatitis.

lingua: Inglese


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