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Gu N, Grab JG, Moore RD. Rapid endovascular bailout revascularization of the renal arteries with a steerable guiding sheath after endovascular abdominal aortic aneurysm repair. J Vasc Surg Cases Innov Tech. 2021;7(3):572-576doi: 10.1016/j.jvscit.2021.04.015.
Gu, N., Grab, J. G., & Moore, R. D. (2021). Rapid endovascular bailout revascularization of the renal arteries with a steerable guiding sheath after endovascular abdominal aortic aneurysm repair. Journal of vascular surgery cases and innovative techniques, 7(3), 572-576. https://doi.org/10.1016/j.jvscit.2021.04.015
Gu, Ningzhi, et al. "Rapid endovascular bailout revascularization of the renal arteries with a steerable guiding sheath after endovascular abdominal aortic aneurysm repair." Journal of vascular surgery cases and innovative techniques vol. 7,3 (2021): 572-576. doi: https://doi.org/10.1016/j.jvscit.2021.04.015
Gu N, Grab JG, Moore RD. Rapid endovascular bailout revascularization of the renal arteries with a steerable guiding sheath after endovascular abdominal aortic aneurysm repair. J Vasc Surg Cases Innov Tech. 2021 May 05;7(3):572-576. doi: 10.1016/j.jvscit.2021.04.015. eCollection 2021 Sep. PMID: 34485780; PMCID: PMC8408573.
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J Vasc Surg Cases Innov Tech. 2021 May 05;7(3):572-576. doi: 10.1016/j.jvscit.2021.04.015. eCollection 2021 Sep.

Rapid endovascular bailout revascularization of the renal arteries with a steerable guiding sheath after endovascular abdominal aortic aneurysm repair.

Journal of vascular surgery cases and innovative techniques

Ningzhi Gu, Jeffery G Grab, Randy D Moore

Affiliations

  1. Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
  2. Division of Vascular Surgery, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

PMID: 34485780 PMCID: PMC8408573 DOI: 10.1016/j.jvscit.2021.04.015

Abstract

Advancements in endovascular therapy have made it increasingly available for patients with complex cases but not without complications. Unintentional coverage of the renal arteries is a rare occurrence during endovascular aortic aneurysm repair. Given the potentially devastating repercussions, it is important that surgeons understand the suitability and the risks and benefits of the available revascularization options. We have described two cases of unintentional renal coverage, with subsequent successful bailout via direct manipulation of the stent-graft with a steerable sheath. We also conducted a review of the reported data, discussed the breadth of management options and their technical aspects, and provided several distinct solutions.

© 2021 The Authors.

Keywords: Accidental coverage; Bailout; Chimney grafting; Endovascular aneurysm repair; Parallel grafting; Renal occlusion; Steerable sheath

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