The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture Felix J.V. Schlösser, MD, PhD, John E. Aruny,

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Presentation transcript:

The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture Felix J.V. Schlösser, MD, PhD, John E. Aruny, MD, Carter B. Freiburg, MD, Hamid R. Mojibian, MD, Bauer E. Sumpio, MD, PhD, Bart E. Muhs, MD, PhD Journal of Vascular Surgery Volume 53, Issue 5, Pages 1386-1390 (May 2011) DOI: 10.1016/j.jvs.2010.11.097 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 A and B, Multiplanar computed tomography angiography (CTA) reconstruction of contained saccular thoracoabdominal aortic aneurysm rupture on presentation. Journal of Vascular Surgery 2011 53, 1386-1390DOI: (10.1016/j.jvs.2010.11.097) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative fluoroscopy of the chimney graft: celiac artery stent, superior mesenteric artery stent, and aortic endovascular stent graft. This image shows the two stents in the celiac and superior mesenteric artery and the aortic endograft. Journal of Vascular Surgery 2011 53, 1386-1390DOI: (10.1016/j.jvs.2010.11.097) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Proximal type I endoleak after chimney procedure. Proximal type I endoleak with patent stents in celiac and superior mesenteric artery. Journal of Vascular Surgery 2011 53, 1386-1390DOI: (10.1016/j.jvs.2010.11.097) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Intraoperative angiography after endovascular repair of proximal type I endoleak with chimney procedure. Good angiographic result after endovascular repair of proximal type I endoleak with the chimney procedure. Journal of Vascular Surgery 2011 53, 1386-1390DOI: (10.1016/j.jvs.2010.11.097) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 5 Position of the proximal chimney graft in the aorta and anatomical relationship between the stents. This postoperative computed tomography angiography (CTA) shows the proximal position of the stents in the celiac artery, superior mesenteric artery, and aorta and their relationship with each other and the aortic anatomy. Journal of Vascular Surgery 2011 53, 1386-1390DOI: (10.1016/j.jvs.2010.11.097) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 6 Relationship between visceral artery stents and aortic endograft. This postoperative computed tomography angiography (CTA) shows the position of the stents in the celiac artery and superior mesenteric artery and their positional and anatomical relationship to the endovascular grafts in the aorta. The stents in the celiac artery and superior mesenteric artery are patent. Journal of Vascular Surgery 2011 53, 1386-1390DOI: (10.1016/j.jvs.2010.11.097) Copyright © 2011 Society for Vascular Surgery Terms and Conditions