Hybrid treatment for juxtarenal aortic occlusion: Successful revascularization using iliofemoral semiclosed endarterectomy and kissing-stents technique

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Hybrid treatment for juxtarenal aortic occlusion: Successful revascularization using iliofemoral semiclosed endarterectomy and kissing-stents technique

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Hybrid treatment for juxtarenal aortic occlusion: Successful revascularization using iliofemoral semiclosed endarterectomy and kissing-stents technique Patrizio Castelli, Roberto Caronno, MD, Gabriele Piffaretti, MD, Matteo Tozzi, MD, Chiara Lomazzi, MD, Domenico Laganà, MD, Giampaolo Carrafiello, MD, Salvatore Cuffari, MD Journal of Vascular Surgery Volume 42, Issue 3, Pages 559-563 (September 2005) DOI: 10.1016/j.jvs.2005.05.023 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomography/angiography showed total occlusion of the juxtarenal aorta and extensive lumbar, pelvic, and mesenteric collateral vessels. Journal of Vascular Surgery 2005 42, 559-563DOI: (10.1016/j.jvs.2005.05.023) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative DSA. A, A crossover technique was used to prepare for the kissing-stents procedure after remote endarterectomy of the iliac and femoral vessels. B, The final angiographic control confirmed the successful revascularization of the entire aortoiliofemoral arteries bilaterally. Journal of Vascular Surgery 2005 42, 559-563DOI: (10.1016/j.jvs.2005.05.023) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Two-month follow-up control: computed tomography/angiography with three-dimensional reconstructions detailed the reconstruction of the occluded vessels. Journal of Vascular Surgery 2005 42, 559-563DOI: (10.1016/j.jvs.2005.05.023) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions