T Branch Repair of Ruptured a Type IV Thoracoabdominal Aortic Aneurysm Complicated by Renal Branch Occlusion | Zendy

Stevo Duvnjak | Zendy; Stephan Bach-Frommer | Zendy; Timothy Resch | Zendy

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T Branch Repair of Ruptured a Type IV Thoracoabdominal Aortic Aneurysm Complicated by Renal Branch Occlusion

Author(s) -

Stevo Duvnjak,

Stephan Bach-Frommer,

Timothy Resch

Publication year - 2021

Publication title -

vascular and endovascular surgery/vascular and endovascular surgery

Language(s) - English

Resource type - Journals

eISSN - 1938-9116

pISSN - 1538-5744

DOI - 10.1177/1538574421989852

Subject(s) - medicine , dialysis , surgery , stent , renal function , aneurysm , renal ischemia , aortic aneurysm , cardiology , ischemia , reperfusion injury

A 60-year male patient presented with a thoracoabdominal aortic aneurysm rupture, which was treated emergently with a modified off-the-shelf t-Branch stent-graft (COOK Medical Inc). The sole renal branch occluded 1 month after TEVAR due to branch compression, and the patient became anuric and temporarily dialysis-dependent. Despite the prolonged renal ischemia time, the occluded renal branch was successfully opened with thrombolysis and reinforced with a bare-metal stent. The patient recovered his renal function and came off dialysis.

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