Publication

Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks

Journal Paper/Review - Mar 29, 2010

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Citation
Rancic Z, Pfammatter T, Lachat M, Hechelhammer L, Frauenfelder T, Veith F, Criado F, Mayer D. Periscope graft to extend distal landing zone in ruptured thoracoabdominal aneurysms with short distal necks. J Vasc Surg 2010; 51:1293-6.
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Journal Paper/Review (English)
Journal
J Vasc Surg 2010; 51
Publication Date
Mar 29, 2010
Issn Print
Issn Electronic
1097-6809
Pages
1293-6
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Brief description/objective

Endovascular aneurysm repair (EVAR) of ruptured thoracoabdominal aortic aneurysms may be compromised or even impossible due to short proximal and/or distal necks or landing zones, respectively. Supra-aortic branches may limit the proximal anchorage and visceral or renal arteries the distal anchorage of endografts. While solutions have been proposed to overcome the problem of a short proximal neck, no technique has been described that solves the problem of a short distal neck. We present the "periscope technique," which allows extension of the distal landing zone and complete endovascular treatment of ruptured thoracoabdominal aneurysms with short distal necks using devices already stocked in most centers performing EVAR procedures.