Lots of interesting abstracts and cases were submitted for TCTAP 2024. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!
TCTAP C-190
A Case of Hemorrhagic Shock Saved by Hybrid Treatment of Cardiology and Cardiovascular Surgery
By Taro Takeyama, Nobuhito Kaneko, Hiroshi Ando, Keisuke Nakabayashi, Takeshi Sasaki
Presenter
Taro Takeyama
Authors
Taro Takeyama1, Nobuhito Kaneko2, Hiroshi Ando2, Keisuke Nakabayashi2, Takeshi Sasaki2
Affiliation
Dokkyo Medical University Saitama Medical Center, Japan1, Kasukabe Chuo General Hospital, Japan2,
View Study Report
TCTAP C-190
Endovascular - Iliac / SFA Intervention
A Case of Hemorrhagic Shock Saved by Hybrid Treatment of Cardiology and Cardiovascular Surgery
Taro Takeyama1, Nobuhito Kaneko2, Hiroshi Ando2, Keisuke Nakabayashi2, Takeshi Sasaki2
Dokkyo Medical University Saitama Medical Center, Japan1, Kasukabe Chuo General Hospital, Japan2,
Clinical Information
Patient initials or Identifier Number
Relevant Clinical History and Physical Exam
81-year-old woman after TEVAR for aortic dissection, and aorta-external iliac artery bypass visited the previous doctor because of pain in her left leg. Contrast-enhanced CT showed extravascular leakage of contrast medium from the artificial blood vessel and left
external iliac artery anastomosis. The patient was admitted to our cardiovascular surgery department for hemostasis of anastomotic hemorrhage.
external iliac artery anastomosis. The patient was admitted to our cardiovascular surgery department for hemostasis of anastomotic hemorrhage.
Relevant Test Results Prior to Catheterization
Laboratory date: Creatinine 0.79 mg/dL, hemoglobin 4.4 g/dL.Contrast-enhanced CT: Extravascular leakage of contrast medium from the artificial blood vessel and left external iliac artery anastomosis.
Relevant Catheterization Findings
Initial angiography showed showed extravascular leakage of contrast medium from the artificial blood vessel and left external iliac artery anastomosis and CTO of the left external iliac artery.
Interventional Management
Procedural Step
Coil embolization was performed in the cardiovascular surgery department, 10 coils were used centrally in the stent graft. She underwent additional hemostasis using an VIABAHN
VBX Endoprosthesis and endovascular treatment in the cardiology department. An attempt to pass the CTO lesion from the left common iliac artery by retrograde approach
was unsuccessful, and the lesion was successfully passed by antegrade wiring from the right common femoral artery by crossover approach. After anterior dilation with a balloon,
two VIABAHN VBX Endoprosthesis were placed at the bypass anastomosis, and hemostasis was confirmed. A bare nitinol stent was placed distal to the left external iliac artery.
VBX Endoprosthesis and endovascular treatment in the cardiology department. An attempt to pass the CTO lesion from the left common iliac artery by retrograde approach
was unsuccessful, and the lesion was successfully passed by antegrade wiring from the right common femoral artery by crossover approach. After anterior dilation with a balloon,
two VIABAHN VBX Endoprosthesis were placed at the bypass anastomosis, and hemostasis was confirmed. A bare nitinol stent was placed distal to the left external iliac artery.
Case Summary
She was in hemorrhagic shock, and admitted to our cardiovascular surgery department for hemostasis of anastomotic hemorrhage. Final contrast showed hemostasis, dilation of the lesion, and good blood flow. We report a case of hemorrhagic shock that was saved by hybrid treatment of cardiology and cardiovascular surgery.