Balloon protection of the mesenteric-renal vessels during embolectomy of acute paravisceral aortic occlusion

Acute thrombosis of the aorta is an uncommon, but potentially devastating, vascular emergency. The absence of pathognomonic signs or symptoms makes the diagnosis challenging and, often, time consuming. No optimal treatment has been established, with greater challenge present when the thrombus involv...

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Bibliographic Details
Main Authors: May Dvir, MS, Carmelina Gurrieri, MD, Andrew D. Calvin, MD, MPH, Thomas Carmody, MD, Tiziano Tallarita, MD
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428724000844
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Summary:Acute thrombosis of the aorta is an uncommon, but potentially devastating, vascular emergency. The absence of pathognomonic signs or symptoms makes the diagnosis challenging and, often, time consuming. No optimal treatment has been established, with greater challenge present when the thrombus involves the mesenteric-renal vessels. In this case report, we present an innovative, hybrid treatment of a nearly occluded paravisceral aorta with endovascular aortic embolectomy through a surgically accessed right femoral artery. We protected the superior mesenteric, renal, and left common iliac arteries with endovascular balloons to avoid embolization and further complications.
ISSN:2468-4287