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ForwardHow I Do It: Chimney Endovascular Reconstruction of the Aortic Bifurcation (ChERAB) for Severe Aortoiliac Disease
CME credit is not offered for this activity.
This content is provided to members of SVS for free as a member benefit. If you are not a current member of SVS, click here for information on how to apply for membership.
Summary
Aortoiliac occlusive disease involving mesenteric branches poses an interesting challenge. While open surgical approach is considered the gold standard, endovascular techniques such as covered endovascular reconstruction of the aortic bifurcation with inferior mesenteric artery chimney (ChERAB) has been presented as an alternative in patients unfit for major surgical repair. A 64-year-old male with bilateral chronic limb-threatening ischemia and severe chronic malnutrition underwent ChERAB due to significant intraoperative risk. We have presented the operative technique used. The intraoperative course was successful, and postoperatively, the patient underwent a successful, planned left-below-knee amputation and healed his right lower extremity wounds.
Authors
Submitting & Presenting Author: Sebastian Cifuentes, MD
Co-Author: Armin Tabiei, MD
Co-Author: Jesse Chait, DO
Co-Author: Ansab Haider
Senior Author: Fahad Shuja, MBBS
Target Audience
All members of the vascular surgery field.
Price
SVS Member: Free
Non-Member: $35
Original video presented at VAM 2023
SVS Disclaimer
The opinions or views expressed on the SVS OnDemand platform are those of the faculty and do not necessarily reflect the opinions, recommendations, or endorsement of SVS. Participants should critically appraise the information presented and are encouraged to consult appropriate resources for information surrounding any product or device mentioned. Information presented, as well as publications, technologies, products and/or services discussed, are intended to inform the learner about the knowledge, techniques, and experiences of SVS faculty who are willing to share such information with colleagues. The SVS disclaims any and all liability for damages to any individual user for all claims which may result from the use of said information, publications, technologies, products and/or services and events.
Price
CME credit is not offered for this activity.
This content is provided to members of SVS for free as a member benefit. If you are not a current member of SVS, click here for information on how to apply for membership.
Summary
Aortoiliac occlusive disease involving mesenteric branches poses an interesting challenge. While open surgical approach is considered the gold standard, endovascular techniques such as covered endovascular reconstruction of the aortic bifurcation with inferior mesenteric artery chimney (ChERAB) has been presented as an alternative in patients unfit for major surgical repair. A 64-year-old male with bilateral chronic limb-threatening ischemia and severe chronic malnutrition underwent ChERAB due to significant intraoperative risk. We have presented the operative technique used. The intraoperative course was successful, and postoperatively, the patient underwent a successful, planned left-below-knee amputation and healed his right lower extremity wounds.
Authors
Submitting & Presenting Author: Sebastian Cifuentes, MD
Co-Author: Armin Tabiei, MD
Co-Author: Jesse Chait, DO
Co-Author: Ansab Haider
Senior Author: Fahad Shuja, MBBS
Target Audience
All members of the vascular surgery field.
Price
SVS Member: Free
Non-Member: $35
Original video presented at VAM 2023
SVS Disclaimer
The opinions or views expressed on the SVS OnDemand platform are those of the faculty and do not necessarily reflect the opinions, recommendations, or endorsement of SVS. Participants should critically appraise the information presented and are encouraged to consult appropriate resources for information surrounding any product or device mentioned. Information presented, as well as publications, technologies, products and/or services discussed, are intended to inform the learner about the knowledge, techniques, and experiences of SVS faculty who are willing to share such information with colleagues. The SVS disclaims any and all liability for damages to any individual user for all claims which may result from the use of said information, publications, technologies, products and/or services and events.