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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Chimney and periscope technique for emergent treatment of spontaneous aortic rupture
George Trellopoulos1, Efstratios Georgakarakos2, Dimitrios Pelekas1
1First Surgical Clinic, General Hospital "G. Papanikolaou" Exohi, Thessaloniki, Greece.
Abstract:
Aortic rupture comprises a potentially fatal condition necessitating emergent treatment. Endovascular sealing of the rupture site is often combined with the use of chimney- and periscope stent placement to preserve perfusion of aortic branches. We present a case of successful endovascular management of contained aortic rupture in a 78-year-old patient. The left brachial access facilitated stenting of the celiac and superior mesenteric arteries, whereas the left femoral route served stenting of the renal artery. One-month follow-up confirmed complete sealing, stent patency, and absence of endograft migration. The combined periscope and chimney technique is feasible and effective in the emergency setting.
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