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CardioVascular and Interventional Radiology

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01-01-2018 | Case Report

Endovascular Aneurysm Repair with Balloon Thrombectomy for Acute Thrombosis of Abdominal Aortic Aneurysm

Authors: Kensuke Uotani, Akihiro Hamanaka, Keigo Matsushiro, Erika Idaka, Kiyo Ito, Yuko Yamasaki, Takeyuki Kushima, Takaki Sugimoto, Koji Sugimoto

Published in: CardioVascular and Interventional Radiology | Issue 1/2018

Abstract

Acute occlusion of abdominal aortic aneurysm (AAA) is a rare complication and is usually treated with surgical reconstruction. We present a case of acute AAA occlusion that was successfully treated by endovascular aneurysm repair (EVAR) with Fogarty balloon thrombectomy. A 77-year-old man with a history of acute myocardial ischemia presented with limb weakness and coldness. Contrast-enhanced computed tomography showed a 42-mm-diameter infrarenal AAA that was completely thrombosed in the distal portion. The proximal neck of the aneurysm was patent, and its shape was suitable for EVAR. Therefore, we performed balloon thrombectomy of the aortoiliac thrombus that was followed by EVAR. EVAR can be a less invasive alternative than traditional treatment for acute occlusion of AAA.

Suliman AS, Raffetto JD, Seidman CS, Menzoian JO. Acute thrombosis of abdominal aortic aneurysms–report of two cases and review of the literature. Vasc Endovasc Surg. 2003;37(1):71–5.CrossRef

Hirose H, Takagi M, Hashiyada H, Miyagawa N, Yamada T, Tada S, et al. Acute occlusion of an abdominal aortic aneurysm–case report and review of the literature. Angiology. 2000;51(6):515–23.CrossRefPubMed

Johnson JM, Gaspar MR, Movius HJ, Rosental JJ. Sudden complete thrombosis of aortic and iliac aneurysms. Arch Surg. 1974;108(6):792–4.CrossRefPubMed

Babu SC, Shah PM, Nitahara J. Acute aortic occlusion–factors that influence outcome. J Vasc Surg. 1995;21:567–72 discussion 73–5.CrossRefPubMed

Surowiec SM, Isiklar H, Sreeram S, Weiss VJ, Lumsden AB. Acute occlusion of the abdominal aorta. Am J Surg. 1998;176(2):193–7.CrossRefPubMed

Schwartz RA, Nichols WK, Silver D. Is thrombosis of the infrarenal abdominal aortic aneurysm an acceptable alternative? J Vasc Surg. 1986;3(3):448–55.CrossRefPubMed

Terai Y, Mitsuoka H, Nakai M, Goto S, Miyano Y, Tsuchiya H, et al. Endovascular aneurysm repair of acute occlusion of abdominal aortic aneurysm with intra-aneurysmal dissection. Ann Vasc Surg. 2015;29:1658 e11-4.CrossRefPubMed

Title: Endovascular Aneurysm Repair with Balloon Thrombectomy for Acute Thrombosis of Abdominal Aortic Aneurysm
Authors: Kensuke Uotani
Akihiro Hamanaka
Keigo Matsushiro
Erika Idaka
Kiyo Ito
Yuko Yamasaki
Takeyuki Kushima
Takaki Sugimoto
Koji Sugimoto
Publication date: 01-01-2018
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 1/2018
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-017-1770-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Endovascular Aneurysm Repair with Balloon Thrombectomy for Acute Thrombosis of Abdominal Aortic Aneurysm

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

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