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Case Report
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Korean J Med. 2014;86(2):213-217. Published online February 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.2.213
- 신동맥에 접한 복부대동맥류에서 굴뚝형 이식편을 이용한
혈관내 치료
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김다래1, 고영국1, 이도연2, 최동훈1
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1연세대학교 의과대학 내과학교실 심장내과
2연세대학교 의과대학 영상의학교실
- Endovascular Repair of a Juxtarenal Abdominal Aortic Aneurysm Using a
Chimney Graft
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Darae Kim1, Young-Guk Ko1, Do-Yun Lee2, Donghoon Choi1
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1Division of Cardiology, Departments of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
2Radiology, Yonsei University College of Medicine, Seoul, Korea
- Corresponding author: Young-Guk Ko ,Tel: +82-2-2228-8460, Fax: +82-2-2227-7732, Email: Ygko@yuhs.ac
- Received: December 31, 2012; Revised: March 4, 2013 Accepted: March 6, 2013.
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߽ɾ :복부대동맥; 혈관내 치료
- Abstract
- An endovascular repair of an abdominal aortic aneurysm (AAA) is technically less invasive than open surgery, but gives results as effective as open surgery if the anatomy is adequate. Unfortunately, 20-30% of AAA patients are not suitable for endovascular repair because they lack a sufficient proximal landing zone. In an effort to broaden the applicability of endovascular repair, the chimney technique has been introduced. This refers to deployment of a covered or bare-metal stent parallel to the main aortic endograft within the aneurysm, creating a conduit that runs outside the main aortic endograft into the aortic branches. We report the case of a 75-year-old male with a juxtarenal abdominal aortic aneurysm and multiple comorbidities who was treated successfully with an endovascular aneurysm repair using a chimney graft. (Korean J Med 2014;86:213-217)
Keywords :Abdominal aortic aneurysm, Endovascular techniques
