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Case Reports
. 2020 Dec;6(4):703-706.
doi: 10.1016/j.jvscit.2020.08.019. Epub 2020 Sep 2.

Hybrid covered endovascular reconstruction of the aortic bifurcation (CERAB) procedure is preferable to aortobifemoral bypass for limb-threatening aortoiliac occlusive disease during the COVID-19 crisis

Helen McElligott  1 , Conor Toale  1 , Eamon G Kavanagh  1 , Michael A Moloney  1
Affiliations
Case Reports

Hybrid covered endovascular reconstruction of the aortic bifurcation (CERAB) procedure is preferable to aortobifemoral bypass for limb-threatening aortoiliac occlusive disease during the COVID-19 crisis

Helen McElligott et al. J Vasc Surg Cases Innov Tech. 2020 Dec.

Abstract

The COVID-19 pandemic is disrupting the provision of acute vascular surgery across the globe. Limited evidence of the impact of nosocomial infection on patient outcomes as well as concerns about critical care capacity will likely have an impact on surgical decision-making. Endovascular therapy offers a way by which perioperative risk can be reduced for vascular patients while also reducing the impact of acute surgery on intensive care unit capacity. This case report describes the management of a patient with complex aortoiliac occlusive disease by a hybrid endovascular approach in light of these constraints, with a successful outcome.

Keywords: CERAB; COVID-19; Coronavirus; Endovascular; Vascular surgery.

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Figures

Fig 1
Fig 1
Three-dimensional reconstruction of lower limb computed tomography angiography image demonstrating abdominal aorta thrombus, right common iliac aneurysm with stenosis and left common iliac artery occlusion, left external iliac occlusion, and recanalization of the left common femoral artery through the left inferior epigastric artery.
Fig 2
Fig 2
Intraoperative digital subtraction angiography. A, Diagnostic angiogram demonstrating a right common iliac artery aneurysm and occlusion of the left common iliac artery. B, Completion angiogram after endovascular recanalization.
Fig 3
Fig 3
Three-dimensional reconstruction of postoperative computed tomography angiography image showing covered endovascular stents in satisfactory position.
See this image and copyright information in PMC

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