Erschienen in:
01.08.2005
Endovascular Repair of Innominate Artery True Aneurysm with Extra-Anatomic Revascularization of Right Carotid and Vertebral Arteries — A Case Report
verfasst von:
John B. Chang, M.D., F.I.C.A., Theodore Stein, Ph.D., David Siegel, M.D., F.I.C.A., Mihai Rosca, M.D., F.I.C.A.
Erschienen in:
International Journal of Angiology
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Ausgabe 3/2005
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Abstract
The purpose of this article is to describe the endovascular repair of a large aneurysm of the innominate artery in a patient with a history of chronic renal failure and coronary artery bypass. A 4.5 × 4.8-cm innominate artery aneurysm that extended to the proximal subclavian artery was diagnosed by chest X-ray, computed tomography, computed tomography angiography, and aortic arch angiogram in an 80-year-old man who had problems with his angio access for renal dialysis. Since these aneurysms are potential sources of emboli to the brain, extra-anatomic diversion and revascularization of the right carotid and vertebral arteries were done before endovascular manipulation of the innominate artery. Before discharge, a computed tomography scan showed no evidence of a Type I or major Type II leak. The patient has been doing well as an outpatient. Large innominate artery aneurysms in high-risk patients can be treated successfully by using a combined approach of extra-anatomic revascularization of the right carotid and vertebral artery system, and endovascular repair of the aneurysm.