Introduction: The presence of symptomatic atherosclerotic stenosis of the innominate artery is an uncommon condition. The authors report the use of kissing stent technique in right subclavian and common carotid arteries with covered stents and cerebral protection by direct clamping of common carotid artery, as a hybrid endovascular alternative to treat symptomatic stenosis of the innominate artery. Case Report:...
Introduction: Up to 30% of patients undergoing elective EVAR have prior Chronic Kidney Disease (CKD). The contrast-induced nephropathy is a complication of EVAR. It is possible to perform EVAR without contrast or minimize its amount during the procedure, using intraoperative angiography with CO2 and/or IVUS instead of conventional angiography. However, these techniques are not available in most hospitals, unlik...
Introduction: Involvement of the visceral arteries continues to limit the application of endovascular approaches. Open conventional repair is associated with higher morbimortality. With fenestrated and branched endografts, the total endovascular repair is effective, but these devices are not yet widely available and still require a period of customization. So they can’t be used in the majority of urgent cases. ...
Introduction: Neurofibromatosis type1 (NF1), also known as Von Recklinghausen disease, is caused by an autosomal dominant abnormality in chromosome 17, responsible for the impaired production of neurofibromin. The presence of cafe-au-lait spots, neurofibromas and iris hamartomas are cardinal signs of the disease. The occurrence of a fatal or near-fatal haemorrhage is reported in pleural, peritoneal, retroperito...
Introduction: The occlusion of internal iliac artery may be necessary in Endovascular Aortic Aneurysm Repair (EVAR). The intentional hypogastric occlusion may have several ischemic complications. The Iliac Branch Devices (IBD) are an alternative to hypogastric occlusion in patients at high risk to pelvic ischemia. The authors report a case of early IBD occlusion with serious clinical consequences. Case Report: ...