Unusual treatment of abdominal aortic aneurysm: Aortic stenting with covered stent

• Published in: International journal of surgery case reports Vol. 3; no. 6; pp. 218 - 221
• Main Authors: Garriboli, L, Jannello, A.M
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.01.2012
• Subjects: Aortic aneurysm; Cover stent; Endoprosthesis; Surgery; Cover stent; Endoprosthesis; Aortic aneurysm
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2012.02.002

Abstract INTRODUCTION It is now becoming increasingly difficult to accept that some patients are not suitable for surgery due to high surgical risk. The continuous technological progress, in the endovascular field in particular, are urging surgeons to put the limit even more forth. PRESENTATION OF CASE We are going to describe an endovascular option used to treat an infrarenal aortic aneurysm where the diameter of the iliac vessels couldn’t allow the use of any device available on the market. Three covered AdvantaV12 stents were placed in series in the aorta to build the endoprosthesis body and two Bard Fluency 8 mm × 60 mm were then placed in a “kissing way” into the common iliac arteries like legs. DISCUSSION Continuous technological progress, particularly in the endovascular field, is driving surgeons to push the limits even further. Nevertheless, some things still seem not to be possible, but in comparison to traditional surgery where all is well demonstrated and documented, the endovascular approach is still a young discipline and allows us to try to find new solutions. CONCLUSION We can therefore assert that in exceptional circumstances, an aortic endoprosthesis can be built inside the aortic lumen using covered stents.