Multiple multilayer stents for thoracoabdominal aortic aneurysm: a possible new tool for aortic endovascular surgery

• Main Authors: Tolva VS, Bianchi PG, Cireni LV, Lombardo A, Keller GC, Parati G, Casana RM
• Format: Article
• Language: English
• Published: Dove Medical Press 2012-07-01
• Series: International Journal of General Medicine
• Online Access: http://www.dovepress.com/multiple-multilayer-stents-for-thoracoabdominal-aortic-aneurysm-a-poss-a10502
• ISSN: 1178-7074

Valerio Stefano Tolva,1,3 Paolo Guy Bianchi,1 Lea Valeria Cireni,1 Alma Lombardo,1 Guido Carlo Keller,1 Gianfranco Parati,2,3 Renato Maria Casana11Surgical Department Istituto Auxologico Italiano IRCCS, Milan, Italy; 2Department of Cardiology, Istituto Auxologico Italiano, Università degli Studi di Milano-Bicocca, Bicocca, Milan, Italy; 3Department of Internal Medicine, San Gerardo Hospital, Università degli Studi di Milano-Bicocca, Bicocca, Milan, ItalyPurpose: Endovascular surgery data are confirming the paramount role of modern endovascular tools for a safe and sure exclusion of thoracoabdominal lesions.Case report: A 57-year-old female presented with severe comorbidity affected by a 58 mm thoracoabdominal aortic aneurysm (TAAA). After patient-informed consent and local Ethical Committee and Italian Public Health Ministry authorization, three multilayer stents were implanted in the thoracoabdominal aortic tract, obtaining at a 20-month computed tomography scan follow up, a complete exclusion of the TAAA, with normal patency of visceral vessels.Conclusion: Multilayer stents can be used in thoracoabdominal aortic aneurysm, with positive results.Keywords: chimney technique, renal artery stenosis, thoracoabdominal aneurysm, vascular complication