The Korean Journal of Medicine

  • 제86권2호
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  • Pages.213-217
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  • 2014
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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신동맥에 접한 복부대동맥류에서 굴뚝형 이식편을 이용한 혈관내 치료

Endovascular Repair of a Juxtarenal Abdominal Aortic Aneurysm Using a Chimney Graft

  • 김다래 (연세대학교 의과대학 내과학교실 심장내과) ;
  • 고영국 (연세대학교 의과대학 내과학교실 심장내과) ;
  • 이도연 (연세대학교 의과대학 영상의학교실) ;
  • 최동훈 (연세대학교 의과대학 내과학교실 심장내과)
  • Kim, Darae (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Ko, Young-Guk (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Do-Yun (Department of Radiology, Yonsei University College of Medicine) ;
  • Choi, Donghoon (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine)
  • 투고 : 2012.12.31
  • 심사 : 2013.03.06
  • 발행 : 2014.02.01
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

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