Descending thoracic aorta to bilateral femoral artery bypass and TEVAR in the management of atypical aortoiliac occlusive disease

AbstractDespite recent advancements of endovascular technology and proven durability of open surgeries, extensive thoracoabdominal aortoiliac occlusive disease (AIOD) remains challenging to treat. This study describes a 58-year-old female with such pathology and multiple medical comorbidities who su...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2021
Main Authors: Li, Wei, MD MPH RPVI RVT FACS, Santana, Dixon, MD MPH FACS, Rivas, Elizabeth, MD, Huynh, Jonathan, MD, Olivas, Roderick, MD, Edwards, Amy, BSN, RN
Format: Article
Language:English
Subjects:
Surgery
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Summary:AbstractDespite recent advancements of endovascular technology and proven durability of open surgeries, extensive thoracoabdominal aortoiliac occlusive disease (AIOD) remains challenging to treat. This study describes a 58-year-old female with such pathology and multiple medical comorbidities who successfully underwent a novel intraoperative transesophageal echocardiography (TEE)-guided combined repair with concurrent descending thoracic aorta to bilateral femoral artery bypass (DTFB) and thoracic endovascular aortic repair (TEVAR). This approach that combines DTFB with TEVAR demonstrates an example of an effective treatment alternative for future complex AIOD.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2021.09.010