Covered endovascular reconstruction of the aortic bifurcation associated to a snorkel technique for inferior mesenteric artery preservation

Abstract

Aortic distal occlusion has been usually treated by open surgery. A persisting patent and overdeveloped inferior mesenteric artery (IMA) suggests a significant participation in the bowel circulation. Coverage of the inferior mesenteric artery (IMA) origin could compromise the bowel circulation. Covered endovascular reconstruction of the aortic bifurcation (CERAB) is a proven and guideline-suggested alternative for revascularization of the distal aortic occlusion. CERAB associated to a snorkel to the IMA aims to reduce the risk of bowel ischemia keeping and percutaneous and minimal invasive approach.

Keywords:

• CERAB
• bowel ischemia
• aortic occlusion
• snorkel technique

Disclosure statement

No potential conflict of interest was reported by the author(s).

Left: Initial angiogram: Distal aortic occlusion with patent inferior mesenteric artery. Right: Completion angiogram: Covered endovascular reconstruction of the aortic bifurcation with snorkel to the inferior mesenteric artery.