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Endovascular Aneurysm Repair with Balloon Thrombectomy for Acute Thrombosis of Abdominal Aortic Aneurysm

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Abstract

Acute occlusion of abdominal aortic aneurysm (AAA) is a rare complication and is usually treated with surgical reconstruction. We present a case of acute AAA occlusion that was successfully treated by endovascular aneurysm repair (EVAR) with Fogarty balloon thrombectomy. A 77-year-old man with a history of acute myocardial ischemia presented with limb weakness and coldness. Contrast-enhanced computed tomography showed a 42-mm-diameter infrarenal AAA that was completely thrombosed in the distal portion. The proximal neck of the aneurysm was patent, and its shape was suitable for EVAR. Therefore, we performed balloon thrombectomy of the aortoiliac thrombus that was followed by EVAR. EVAR can be a less invasive alternative than traditional treatment for acute occlusion of AAA.

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Authors and Affiliations

  1. Department of Radiology, Hyogo Prefectural Awaji Medical Center, 1-1-137 Shioya, Sumoto City, 656-0021, Japan

    Kensuke Uotani, Akihiro Hamanaka, Keigo Matsushiro, Erika Idaka, Kiyo Ito, Yuko Yamasaki & Takeyuki Kushima

  2. Department of Cardiovascular Surgery, Hyogo Prefectural Awaji Medical Center, 1-1-137, Shioya, Sumoto City, 656-0021, Japan

    Takaki Sugimoto

  3. Center for Endovascular Therapy, Kobe University Hospital, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe City, 650-0017, Japan

    Koji Sugimoto

Authors
  1. Kensuke Uotani
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  2. Akihiro Hamanaka
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  3. Keigo Matsushiro
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  4. Erika Idaka
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  5. Kiyo Ito
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  6. Yuko Yamasaki
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  7. Takeyuki Kushima
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  8. Takaki Sugimoto
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  9. Koji Sugimoto
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Corresponding author

Correspondence to Kensuke Uotani.

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Uotani, K., Hamanaka, A., Matsushiro, K. et al. Endovascular Aneurysm Repair with Balloon Thrombectomy for Acute Thrombosis of Abdominal Aortic Aneurysm. Cardiovasc Intervent Radiol 41, 182–185 (2018). https://doi.org/10.1007/s00270-017-1770-6

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  • DOI: https://doi.org/10.1007/s00270-017-1770-6

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