Covered Endovascular Reconstruction of Aortic Bifurcation (CERAB) Treatment in Aortoiliac Occlusive Disease for Unfit Patients
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Abstract
A 71-year-old man presented left thigh and calf claudication for five months. These symptoms progressed to rest pain after one month. There were also no femoral pulses in both legs. Moreover, a computer angiogram revealed total occlusion from the distal aorta to the bilateral common femoral arteries. The patient had been actively smoking with a history of hypertension, dyslipidemia, and coronary artery disease. As such, a treatment option for an unfit patient with aortoiliac occlusive disease is endovascular treatment. Thus, this case report presented a new technique called covered endovascular reconstruction of aortic bifurcation (CERAB).
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References
SritaraP,Sritara C, Woodward M, Wangsuphachart S, Barzi F, Hengprasith B, et al. Prevalence and risk factors of peripheral arterial disease in a selected Thai population. Angiology 2007; 58:.572-8.
Norgren L, Hiatt WR, Dormandy JA, NehlerMR,Harris KA, Fowkes FGR. Inter-society consensus for the management of peripheral arterial disease (TASC II). JVascSurg 2007; 45 (Suppl):S5-67.
AboyansV,RiccoJB,Bartelink ML, Björck M, Brodmann M, Cohnert T, et al. 2017 ESC guidelines on the diagnosis and treatment of peripheral arterialdiseases, in collaboration with the European Society for Vascular Surgery (ESVS).Eur Heart J 2018;39:763-816.
Daabiss M. American Society of Anaesthesiologists physical status classification. Indian journal of anaesthesia [Internet] 2011[cited 2020 Feb 14];55:111. Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2011;volume=55;issue=2;spage=111;epage=115;aulast=Daabiss
Schuermann K. Aortic bifurcation reconstruction: endovascula repair and alternatives. Radiologe 2018; 58: 829-36.
Taeymans K, Goverde P, Lauwers K, Verbruggen P. The CERAB technique: tips, tricks and results. J CardiovascSurg (Torino). 2016;57:343-9
Dijkstra, ML, Goverde PCJM, Holden A, ZeebregtsC, ReijnenMMPJ. Initial experience with covered endovascular reconstruction of the aortic bifurcation in conjunction with chimney grafts. J EndovascTher 2017; 24: 19-24.
Grimme, FAB, Goverde PCJM, Verbruggen PCJM, Zeebregts CJ, Reijnen MMPJ. Editor's choice–first results of the covered endovascular reconstruction of the aortic bifurcation (CERAB) technique for aortoiliac occlusive disease. Eur J VascEndovascSurg 2015; 50: 638-47.
MwipatayiBP,Sharma S, DaneshmandA,Thomas SD, Vijayan V, Altaf N, et al. Durability of the balloon-expandable covered versus bare-metal stents in the covered versus balloon expandable stenttTrial (COBEST) for the treatment of aortoiliac occlusive disease. J vascSurg 2016;64:83-94.
Dorigo W, Piffaretti G, Benedetto F, Tarallo A, Castelli P, SpinelliF,et al. A comparison between aortobifemoral bypass and aortoiliackissing stents in patients with complex aortoiliac obstructive disease. J VascSurg 2017;65:99-107.
Gruppo M, Mazzalai F, Lorenzetti R, Piatto G, Toniato A, Ballotta E. Midline abdominal wall incisional hernia after aortic reconstructive surgery: a prospective study. Surgery 2012; 151: 882-8.