Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report
Acute aortic occlusion (AAO) is a high-mortality condition, and its occurrence during severe acute necrotizing pancreatitis (SANP) is rare. A 62-year-old male with SANP developed AAO. Urgent hybrid revascularization—including thrombectomy and the covered endovascular reconstruction of the aortic bif...
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| Format: | Article |
| Language: | English |
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Medrang
2025-08-01
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| Series: | Vascular Specialist International |
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| Online Access: | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250033 |
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| author | Diego Soto V Paulo Cassis C Cristian Marín O Sebastián Morales Z Lucas Líbano B Maite Rojas M |
| author_facet | Diego Soto V Paulo Cassis C Cristian Marín O Sebastián Morales Z Lucas Líbano B Maite Rojas M |
| author_sort | Diego Soto V |
| collection | DOAJ |
| description | Acute aortic occlusion (AAO) is a high-mortality condition, and its occurrence during severe acute necrotizing pancreatitis (SANP) is rare. A 62-year-old male with SANP developed AAO. Urgent hybrid revascularization—including thrombectomy and the covered endovascular reconstruction of the aortic bifurcation (CERAB) technique guided by intravascular ultrasound (IVUS)—was performed. The patient recovered bilateral lower limb perfusion and distal pulses without requiring further vascular reinterventions or other major surgical procedures. However, he developed severe medical complications during the postoperative period, including pelvic infections and acute renal failure. Nonetheless, the patient recovered and was discharged on postoperative day 64. A hybrid approach—combining thrombectomy with IVUS-guided CERAB—appears technically feasible as an urgent revascularization strategy for AAO. However, despite procedural feasibility of a hybrid approach, the combination of AAO and severe SANP-related medical complications is associated with an elevated risk of short-term morbidity and mortality. |
| format | Article |
| id | doaj-art-0194d2b94d804d87b50aa405b836a86b |
| institution | Kabale University |
| issn | 2288-7970 2288-7989 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Medrang |
| record_format | Article |
| series | Vascular Specialist International |
| spelling | doaj-art-0194d2b94d804d87b50aa405b836a86b2025-08-20T03:41:15ZengMedrangVascular Specialist International2288-79702288-79892025-08-014110.5758/vsi.250033vsi.250033Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case ReportDiego Soto V0Paulo Cassis C1Cristian Marín O2Sebastián Morales Z3Lucas Líbano B4Maite Rojas M5Department of Vascular Surgery, Hospital Dr. Sótero del Río, Puente Alto, ChileDepartment of Vascular Surgery, Hospital Dr. Sótero del Río, Puente Alto, ChileDepartment of Vascular Surgery, Hospital Dr. Sótero del Río, Puente Alto, ChileDepartment of Vascular Surgery, Hospital Dr. Sótero del Río, Puente Alto, ChileDepartment of Surgery, Pontificia Universidad Católica de Chile, Santiago, ChileDepartment of Surgery, Pontificia Universidad Católica de Chile, Santiago, ChileAcute aortic occlusion (AAO) is a high-mortality condition, and its occurrence during severe acute necrotizing pancreatitis (SANP) is rare. A 62-year-old male with SANP developed AAO. Urgent hybrid revascularization—including thrombectomy and the covered endovascular reconstruction of the aortic bifurcation (CERAB) technique guided by intravascular ultrasound (IVUS)—was performed. The patient recovered bilateral lower limb perfusion and distal pulses without requiring further vascular reinterventions or other major surgical procedures. However, he developed severe medical complications during the postoperative period, including pelvic infections and acute renal failure. Nonetheless, the patient recovered and was discharged on postoperative day 64. A hybrid approach—combining thrombectomy with IVUS-guided CERAB—appears technically feasible as an urgent revascularization strategy for AAO. However, despite procedural feasibility of a hybrid approach, the combination of AAO and severe SANP-related medical complications is associated with an elevated risk of short-term morbidity and mortality.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250033acute aortic occlusionpancreatitisintravascular ultrasoundendovascular techniquescovered stents |
| spellingShingle | Diego Soto V Paulo Cassis C Cristian Marín O Sebastián Morales Z Lucas Líbano B Maite Rojas M Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report Vascular Specialist International acute aortic occlusion pancreatitis intravascular ultrasound endovascular techniques covered stents |
| title | Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report |
| title_full | Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report |
| title_fullStr | Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report |
| title_full_unstemmed | Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report |
| title_short | Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report |
| title_sort | intravascular ultrasound guided covered endovascular reconstruction of the aortic bifurcation for acute aortic occlusion concurrent with severe acute necrotizing pancreatitis a case report |
| topic | acute aortic occlusion pancreatitis intravascular ultrasound endovascular techniques covered stents |
| url | http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.250033 |
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