alexa Anatomical Study of the Treatment of Abdominal Aortic Aneurysm - A Short Report | Open Access Journals
ISSN: 2161-0940
Anatomy & Physiology: Current Research
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Anatomical Study of the Treatment of Abdominal Aortic Aneurysm - A Short Report

Paulo Eduardo Eduardo Ocke Reis1,3*, Leonardo Roever2 and Irlandia Figueira Ocke Reis3

1Department of Specialized and General Surgery, Fluminense Federal University, Rio de Janeiro, Brazil

2Department of Clinical Research, Federal University of Uberlandia, Brazil

3Vascular Clinic Ocke Reis, Rio de Janeiro, Brazil

*Corresponding Author:
Paulo Eduardo Eduardo Ocke Reis
Department of Specialized and General Surgery
Fluminense Federal University, Rio de Janeiro, Brazil
Tel: +55 21 2629-5000
E-mail: [email protected]

Received date: January 01, 2016 Accepted date:January 07, 2016 Published date: January 11, 2016

Citation: Reis PE, Roever L, Reis IF (2016) Anatomical Study of the Treatment of Abdominal Aortic Aneurysm - A Short Report. Anat Physiol 6:194. doi: 10.4172/2161-0940.1000194

Copyright: © 2016 Reis PE, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Anatomical study; Abdominal aortic aneurysm; Vascular disease


Abdominal aortic aneurysms (AAAs) are relatively common and are potentially life-threatening. Patients at greatest risk for AAA are men who are older than 65 years and have peripheral atherosclerotic vascular disease. AAAs usually is asymptomatic until they expand or rupture. An expanding AAA causes sudden, severe, and constant low back, flank, abdominal, or groin pain. The advent of endovascular therapies has led to a paradigm shift in the management of abdominal aortic pathology. Endovascular aneurysm repair (EVAR) has revolutionized the treatment of AAAs disease. Abdominal endografts are seeing widespread use as the first-line approach in treating elective aortic disease and are increasingly used to treat emergent processes including ruptures [1]. EVAR is currently the commonest treatment option for AAAs, especially in the elective setting. Short-term morbidity and mortality have proven superior to open aneurysm repair [2-4]. EVAR is less invasive than open repair and useful for treating AAAs in octogenarians [5]. With regard to the strategy of treatment of AAAs the principle of this technique is to eliminate the aneurysm via an endoluminal prosthesis (stent-graft), which is inserted trans- arterially from the femoral artery. In this sense the study of pre-operative CT angiography images of the abdominal aorta and iliac arteries are essential to obtain the anatomical measurements of aneurysms and the endografts implant sites so that no leaks occur and ideal cooptation. To illustrate this sequence in 2015, a 76-year-old man under- went elective EVAR with an aorto-bi-iliac Incraft Cordis graft for a 5.5 cm diameter AAAs; Figure 1 (a) computerized tomographic angiography (CTA) ;(b) immediately after the implantation and (c) final result one month after the procedure showing that in this case the endovascular treatment of abdominal aortic aneurysm was successful.


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