A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator

A recent systematic review and meta-analysis shows that synchronous and metachronous thoracic and abdominal aortic aneurysms are present in 19.2% of cases. The management remains controversial: elective simultaneous TEVAR and EVAR could increase morbidity due to increased aortic coverage during a si...

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Autores principales: Massara, Mafalda, Alberti, Antonino, Cutrupi, Andrea, Alberti, Vittorio, Franco, Gaetana, Volpe, Pietro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8474089/
https://www.ncbi.nlm.nih.gov/pubmed/34630771
http://dx.doi.org/10.3400/avd.cr.21-00031
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author Massara, Mafalda
Alberti, Antonino
Cutrupi, Andrea
Alberti, Vittorio
Franco, Gaetana
Volpe, Pietro
author_facet Massara, Mafalda
Alberti, Antonino
Cutrupi, Andrea
Alberti, Vittorio
Franco, Gaetana
Volpe, Pietro
author_sort Massara, Mafalda
collection PubMed
description A recent systematic review and meta-analysis shows that synchronous and metachronous thoracic and abdominal aortic aneurysms are present in 19.2% of cases. The management remains controversial: elective simultaneous TEVAR and EVAR could increase morbidity due to increased aortic coverage during a single procedure, longer operative times, increased blood loss, and greater contrast exposure. Conversely, simultaneous thoracic endovascular aortic repair (TEVAR) and endovascular aneurysms repair (EVAR) prevent the need for two interventions, reduces future access site complications, and obviates interval aortic complications. We present a case of a multilevel aortic disease treated in three stages: EVAR, TEVAR, and exclusion of an increasing aortic visceral penetrating aortic ulcer through a multilayer flow modulator endograft with an optimal result.
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spelling pubmed-84740892021-10-08 A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator Massara, Mafalda Alberti, Antonino Cutrupi, Andrea Alberti, Vittorio Franco, Gaetana Volpe, Pietro Ann Vasc Dis Case Report A recent systematic review and meta-analysis shows that synchronous and metachronous thoracic and abdominal aortic aneurysms are present in 19.2% of cases. The management remains controversial: elective simultaneous TEVAR and EVAR could increase morbidity due to increased aortic coverage during a single procedure, longer operative times, increased blood loss, and greater contrast exposure. Conversely, simultaneous thoracic endovascular aortic repair (TEVAR) and endovascular aneurysms repair (EVAR) prevent the need for two interventions, reduces future access site complications, and obviates interval aortic complications. We present a case of a multilevel aortic disease treated in three stages: EVAR, TEVAR, and exclusion of an increasing aortic visceral penetrating aortic ulcer through a multilayer flow modulator endograft with an optimal result. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021-09-25 /pmc/articles/PMC8474089/ /pubmed/34630771 http://dx.doi.org/10.3400/avd.cr.21-00031 Text en © 2021 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Massara, Mafalda
Alberti, Antonino
Cutrupi, Andrea
Alberti, Vittorio
Franco, Gaetana
Volpe, Pietro
A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator
title A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator
title_full A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator
title_fullStr A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator
title_full_unstemmed A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator
title_short A Case of Multilevel Aortic Disease Treated Using Cardiatis Multilayer Flow Modulator
title_sort case of multilevel aortic disease treated using cardiatis multilayer flow modulator
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8474089/
https://www.ncbi.nlm.nih.gov/pubmed/34630771
http://dx.doi.org/10.3400/avd.cr.21-00031
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