Annuvolo Pierfrancesco Antonio, Pascucci Federico, Minelli Fabrizio, Natola Marco, Donati Tommaso, Tshomba Yamume
Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.
J Vasc Surg Cases Innov Tech. 2023 Jul 4;9(3):101259. doi: 10.1016/j.jvscit.2023.101259. eCollection 2023 Sep.
The chimney endovascular aneurysm repair (Ch-EVAR) technique has progressively increased in popularity in the treatment of complex aortic aneurysms. However, the long-term results of this technique still must be assessed, especially in comparison to custom-made solutions. The patency of chimney grafts has always been one of the important issues with the Ch-EVAR technique. However, interactions between nonstented aortic side branches and chimney stent grafts have rarely been discussed. In the present case report, we describe a rare case of mesenteric ischemia due to superior mesenteric artery ostium coverage by the misalignment of a renal stent graft in a Ch-EVAR.
烟囱式血管腔内动脉瘤修复术（Ch-EVAR）在复杂主动脉瘤的治疗中越来越受欢迎。然而，该技术的长期效果仍有待评估，尤其是与定制解决方案相比。烟囱式移植物的通畅性一直是Ch-EVAR技术的重要问题之一。然而，非支架主动脉侧支与烟囱式支架移植物之间的相互作用很少被讨论。在本病例报告中，我们描述了一例罕见的肠系膜缺血病例，该病例是由于Ch-EVAR中肾支架移植物错位覆盖肠系膜上动脉开口所致。
