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Emergent Treatment of a Ruptured Thoracoabdominal Aortic Aneurysm by Off-Label Rescue Implantation of the Ovation Stent Graft in Nonagenarian Patients.

Abstract：

:We report a case of a compassionate treatment of a ruptured thoracoabdominal aortic aneurysm in a 92-year-old patient. The patient was admitted to our emergency department for acute onset of pain irradiating to the back. Computed tomography angiography showed the presence of a thoracoabdominal aortic aneurysm with a contained rupture at infrarenal level. Given the presence of a relative healthy visceral aorta, we decided to treat the patient by Ovation (Endologix, Irvine, CA) implantation in an off-label fashion. Procedure was performed by bilateral percutaneous access. Completion angiography showed the good stent-graft apposition with complete aneurysm exclusion. The patient was discharged on the third postoperative day. The 1-month follow-up confirmed the good procedural result; aneurysm was completely excluded without further thoracic dilatation.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Pranteda C,Sirignano P,Fornelli F,Mansour W,Montelione N,Capoccia L,Speziale F

doi

10.1016/j.avsg.2016.07.102

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

296.e15-296.e19

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(16)31258-4

journal_volume

40

pub_type

杂志文章

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