Tratamento endovascular do aneurisma aortoilíaco: relato do primeiro caso utilizando endoprótese brasileira com ramo ilíaco
Endovascular treatment of aortoiliac aneurysm: first report of a case using a Brazilian device with an iliac branch
Fábio Augusto Cypreste Oliveira, Carlos Eduardo de Sousa Amorelli, Fábio Lemos Campedelli, Davi Heckmann, Juliana Caetano Barreto, Maria Cunha Ribeiro Amorelli, Ana Flávia Guerra Campedelli, Philippe Moreira da Silva
Resumo
O aneurisma aortoilíaco tem representado desafio terapêutico principalmente em relação ao tratamento endovascular, visto que a embolização das artérias ilíacas internas pode levar a graves complicações. Inúmeras técnicas cirúrgicas convencionais e endovasculares têm sido descritas para a preservação de ao menos um ramo ilíaco interno. Dentre as opções de tratamento totalmente endovascular, podemos citar as endopróteses ramificadas e a técnica de próteses paralelas. Os autores relatam o primeiro caso de tratamento endovascular com preservação de ramo ilíaco interno utilizando endoprótese nacional ramificada.
Palavras-chave
Abstract
Aortoiliac aneurysms are particularly challenging to treat using a totally endovascular approach, because embolization of the internal iliac arteries can cause major complications. Several conventional and endovascular surgical techniques have been described that offer preservation of at least one internal iliac branch and options for completely endovascular treatment include branched stentgrafts and the parallel grafts technique. Here, the authors report the first case of endovascular treatment with preservation of an internal iliac branch using a Brazilian iliac branch device.
Keywords
References
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