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Complications - Chimney Technique for Juxtarenal Aortic Aneurysm (Ch-EVAR)

  1. Intraoperative Complications

    • Dissection and arterial thrombosis of the access routes, especially the brachial, axillary, and subclavian arteries as well as the lower extremities
    • Dissection, extravasation, and injury of the renal arteries during catheterization and placement of the covered stents
    • Dislocation of the covered stents.
    • Catheterization difficulties of the renal arteries
    • Perforation of the aortic sac with bleeding and shock state
    • Dissection and injury of the distal access routes (common femoral artery, pelvic arteries)

    → if interventional correction is not successful or critical bleeding occurs, immediate conversion to open surgery!

Postoperative Complications

1. Ischemic ComplicationsLimb Ischemia  peripheral emboli (< 2 %) → resolution through combinati

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