A Branched, Balloon-Deployable, Aortomonoiliac Stent-Graft for Treatment of AAA in a Patient With a Solitary Intrapelvic Kidney

作者：Bertoni Hernan G; Girela German; Peirano Miguel; Leguizamon Jorge H; de la Vega Alejandro; Barone Hector D; Nutley Mark; Zhang Ze; Douville Yvan; Guidoin Robert^*

来源：Journal of Endovascular Therapy, 2010, 17(2): 261-265.

DOI：10.1583/09-2888.1

• abdominal aortic aneurysm
• balloon-expandable stent-graft
• branched stent-graft
• complex aneurysm
• solitary kidney

Purpose: To report the use of a branched, balloon-deployable stent-graft to treat abdominal aortic aneurysm (AAA) in the setting of a solitary kidney.
Case Report: A 72-year-old man with a solitary intrapelvic kidney and multiple comorbid conditions was diagnosed with an asymptomatic 5.3-cm abdominal aortic aneurysm (AAA); the renal artery emerged from the aneurysm sac. A customized branched, balloon-deployable, aortomonoiliac stent-graft was utilized to exclude the AAA and preserve perfusion to the single renal artery. A synthetic bypass was then implanted to restore perfusion to the contralateral limb. The diameter of the aneurysm decreased from 5.3 to 2.7 cm at 18 months. The renal artery was patent without evidence of stenosis; renal function was normal.
Conclusion: The deployment of a novel branched stent-graft represents an interesting alternative approach to the treatment of a juxtarenal aneurysm. J Endovasc Ther. 2010;17:261-265

• 出版日期2010-4