IVUS-Guided Intravascular Lithotripsy of the Juxtarenal and Visceral Coral Reef Aorta

Florian Elger; Rukiye Secer; Marcello Silvano; Eberhard Grambow; Giovanni F Torsello; Giovanni B Torsello

doi:10.1016/j.jaccas.2024.102536

IVUS-Guided Intravascular Lithotripsy of the Juxtarenal and Visceral Coral Reef Aorta

JACC Case Rep. 2024 Sep 18;29(18):102536. doi: 10.1016/j.jaccas.2024.102536.

Authors

Florian Elger¹, Rukiye Secer¹, Marcello Silvano¹, Eberhard Grambow¹, Giovanni F Torsello², Giovanni B Torsello³

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, University Medical Center Göttingen, Germany.
² Institute of Clinical and Interventional Radiology, University Medical Center Göttingen, Germany.
³ Institute for Vascular Research, University Medical Center Münster, Germany.

Abstract

A patient with coral reef aorta at the level of the renal and visceral arteries was treated endovascularly. We used intravascular lithotripsy for improving stent expansion and intravascular ultrasound as an intraoperative diagnostic tool. The renal artery periscope technique maintained renal perfusion after placement of the aortic endograft.

Keywords: IVUS; aortic stenting; atherosclerotic aortic disease; coral reef aorta; intravascular lithotripsy; periscope.

Publication types

Case Reports