SlideShare a Scribd company logo
1 of 19
Dr. med. Alexander Massmann, MD
Saarland University Medical Center
Clinic for Diagnostic and Interventional Radiology
66421 Homburg/Saar
Germany

Sandwich Techniques for
Hypogastric Artery Preservation
Lombard
Aorfix
+
Gore Viabahn Sandwich for internal iliac artery
•
•
•
•

66-year-aged patient
smoker 50 py
CHD
stroke >5 years

• open aortic repair >5 years
• stenting CIA/EIA with occlusion IIA 2 years
progressive aneurysm right CIA/EIA 3.5 cm
• progressive aneurysm left CIA 3 cm and IIA 2.5 cm
Lombard Aorfix +
Advanta V12 Sandwich for internal iliac artery
• 73-year-aged patient
• smoker >100 py (FEV1 0.7 l)
• CHD
• AAA 6.7 cm
• aneurysm left CIA 2.5 cm and IIA 3 cm
Cook Zenith +
Iliac Side Branch +
Atrium Advanta V12 Sandwich
for superior & inferior gluteal artery
• 59-year-aged patient
• CHD
• diabetes mellitus type 2
• PAD walking distance 200 m
• aggravation of right-sided claudication
after covered-stent implantation right IIA 1 month ago
Hypogastric artery preservation with sandwich technique short summary massmann
Hypogastric artery preservation with sandwich technique short summary massmann
Hypogastric artery preservation with sandwich technique short summary massmann
Hypogastric artery preservation with sandwich technique short summary massmann

More Related Content

Viewers also liked

Postpartum Kanama - www.jinekolojivegebelik.com
Postpartum Kanama - www.jinekolojivegebelik.comPostpartum Kanama - www.jinekolojivegebelik.com
Postpartum Kanama - www.jinekolojivegebelik.comjinekolojivegebelik.com
 
perine anatomisi (fazlası için www.tipfakultesi.org)
perine anatomisi (fazlası için www.tipfakultesi.org)perine anatomisi (fazlası için www.tipfakultesi.org)
perine anatomisi (fazlası için www.tipfakultesi.org)www.tipfakultesi. org
 
Dr.nisreen anatomy presentation
Dr.nisreen anatomy presentationDr.nisreen anatomy presentation
Dr.nisreen anatomy presentationTariq Mohammed
 
Female genital tract anatomy
Female genital tract anatomy Female genital tract anatomy
Female genital tract anatomy Tariq Mohammed
 
Development of communication skills in teaching & learning English among ESL ...
Development of communication skills in teaching & learning English among ESL ...Development of communication skills in teaching & learning English among ESL ...
Development of communication skills in teaching & learning English among ESL ...Vijayeswari Subba Naidu
 
Applied anatomy of pelvis and fetal skull
Applied anatomy of pelvis and fetal skullApplied anatomy of pelvis and fetal skull
Applied anatomy of pelvis and fetal skullAravind Ravi
 
Teaching Speaking & Listening
Teaching Speaking & ListeningTeaching Speaking & Listening
Teaching Speaking & ListeningErin Lowry
 
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANIFEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANIDR SHASHWAT JANI
 
Anatomy of the female pelvis
Anatomy of the female pelvisAnatomy of the female pelvis
Anatomy of the female pelvisraj kumar
 
Anatomy of the female reproductive system
Anatomy of the female reproductive systemAnatomy of the female reproductive system
Anatomy of the female reproductive systemraj kumar
 

Viewers also liked (18)

Postpartum Kanama - www.jinekolojivegebelik.com
Postpartum Kanama - www.jinekolojivegebelik.comPostpartum Kanama - www.jinekolojivegebelik.com
Postpartum Kanama - www.jinekolojivegebelik.com
 
TRAVMA VE RESÜSİTASYON KURSU
TRAVMA VE RESÜSİTASYON KURSU TRAVMA VE RESÜSİTASYON KURSU
TRAVMA VE RESÜSİTASYON KURSU
 
perine anatomisi (fazlası için www.tipfakultesi.org)
perine anatomisi (fazlası için www.tipfakultesi.org)perine anatomisi (fazlası için www.tipfakultesi.org)
perine anatomisi (fazlası için www.tipfakultesi.org)
 
Dr.nisreen anatomy presentation
Dr.nisreen anatomy presentationDr.nisreen anatomy presentation
Dr.nisreen anatomy presentation
 
Retroperiton masses
Retroperiton massesRetroperiton masses
Retroperiton masses
 
ALAPP 2017 3D Anatomy
ALAPP 2017 3D AnatomyALAPP 2017 3D Anatomy
ALAPP 2017 3D Anatomy
 
Female genital tract anatomy
Female genital tract anatomy Female genital tract anatomy
Female genital tract anatomy
 
Pelvis blood and nerve supply
Pelvis blood and nerve supplyPelvis blood and nerve supply
Pelvis blood and nerve supply
 
Development of communication skills in teaching & learning English among ESL ...
Development of communication skills in teaching & learning English among ESL ...Development of communication skills in teaching & learning English among ESL ...
Development of communication skills in teaching & learning English among ESL ...
 
Retroperitoneal masses
Retroperitoneal massesRetroperitoneal masses
Retroperitoneal masses
 
Applied anatomy of pelvis and fetal skull
Applied anatomy of pelvis and fetal skullApplied anatomy of pelvis and fetal skull
Applied anatomy of pelvis and fetal skull
 
Teaching Speaking & Listening
Teaching Speaking & ListeningTeaching Speaking & Listening
Teaching Speaking & Listening
 
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANIFEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
 
Slideshare net
Slideshare netSlideshare net
Slideshare net
 
How to teach listening
How to teach listening How to teach listening
How to teach listening
 
Female pelvis ppt
Female pelvis pptFemale pelvis ppt
Female pelvis ppt
 
Anatomy of the female pelvis
Anatomy of the female pelvisAnatomy of the female pelvis
Anatomy of the female pelvis
 
Anatomy of the female reproductive system
Anatomy of the female reproductive systemAnatomy of the female reproductive system
Anatomy of the female reproductive system
 

Similar to Hypogastric artery preservation with sandwich technique short summary massmann

ABDOMINAL AORTIC ANEURSUM.pptx
ABDOMINAL AORTIC ANEURSUM.pptxABDOMINAL AORTIC ANEURSUM.pptx
ABDOMINAL AORTIC ANEURSUM.pptxDrNadia7
 
Myocardial Infarction - Case Presentation and an Overview
Myocardial Infarction - Case Presentation and an OverviewMyocardial Infarction - Case Presentation and an Overview
Myocardial Infarction - Case Presentation and an OverviewAbubakkar Raheel
 
Day care surgery BY DR.HARSHENDRA.VEGUNTA
Day care surgery BY DR.HARSHENDRA.VEGUNTADay care surgery BY DR.HARSHENDRA.VEGUNTA
Day care surgery BY DR.HARSHENDRA.VEGUNTAVegunta Harshendra
 
High Risk Left main PCI using Impella in post-TAVR patient
High Risk Left main PCI using Impella in post-TAVR patient High Risk Left main PCI using Impella in post-TAVR patient
High Risk Left main PCI using Impella in post-TAVR patient Abdelkader Almanfi
 
Artificial heart transplantation
Artificial heart transplantationArtificial heart transplantation
Artificial heart transplantationMaheshSwami19
 
Back to the Bedside: Internal Medicine Bedside Ultrasound Program
Back to the Bedside: Internal Medicine Bedside Ultrasound ProgramBack to the Bedside: Internal Medicine Bedside Ultrasound Program
Back to the Bedside: Internal Medicine Bedside Ultrasound ProgramAllina Health
 

Similar to Hypogastric artery preservation with sandwich technique short summary massmann (11)

ABDOMINAL AORTIC ANEURSUM.pptx
ABDOMINAL AORTIC ANEURSUM.pptxABDOMINAL AORTIC ANEURSUM.pptx
ABDOMINAL AORTIC ANEURSUM.pptx
 
AAA.pptx
AAA.pptxAAA.pptx
AAA.pptx
 
Dissection_Novel Killer
Dissection_Novel KillerDissection_Novel Killer
Dissection_Novel Killer
 
Myocardial Infarction - Case Presentation and an Overview
Myocardial Infarction - Case Presentation and an OverviewMyocardial Infarction - Case Presentation and an Overview
Myocardial Infarction - Case Presentation and an Overview
 
Day care surgery BY DR.HARSHENDRA.VEGUNTA
Day care surgery BY DR.HARSHENDRA.VEGUNTADay care surgery BY DR.HARSHENDRA.VEGUNTA
Day care surgery BY DR.HARSHENDRA.VEGUNTA
 
Abdominal Aortic Aneurysm
Abdominal Aortic AneurysmAbdominal Aortic Aneurysm
Abdominal Aortic Aneurysm
 
High Risk Left main PCI using Impella in post-TAVR patient
High Risk Left main PCI using Impella in post-TAVR patient High Risk Left main PCI using Impella in post-TAVR patient
High Risk Left main PCI using Impella in post-TAVR patient
 
Artificial heart transplantation
Artificial heart transplantationArtificial heart transplantation
Artificial heart transplantation
 
Back to the Bedside: Internal Medicine Bedside Ultrasound Program
Back to the Bedside: Internal Medicine Bedside Ultrasound ProgramBack to the Bedside: Internal Medicine Bedside Ultrasound Program
Back to the Bedside: Internal Medicine Bedside Ultrasound Program
 
FAT EMBOLISATION , ACS , ABNORMAL RCA CAUSING IWMI
FAT EMBOLISATION , ACS , ABNORMAL RCA  CAUSING IWMIFAT EMBOLISATION , ACS , ABNORMAL RCA  CAUSING IWMI
FAT EMBOLISATION , ACS , ABNORMAL RCA CAUSING IWMI
 
Hand fractures
Hand fracturesHand fractures
Hand fractures
 

More from Salutaria

Programa preliminar site 2017
Programa preliminar site 2017Programa preliminar site 2017
Programa preliminar site 2017Salutaria
 
Lomb 14266 intelli flex
Lomb 14266 intelli flex Lomb 14266 intelli flex
Lomb 14266 intelli flex Salutaria
 
Summit cela para news letter
Summit cela para news letterSummit cela para news letter
Summit cela para news letterSalutaria
 
PROGRAMA FINAL 16
PROGRAMA FINAL 16PROGRAMA FINAL 16
PROGRAMA FINAL 16Salutaria
 
Endovascular foundation
Endovascular foundationEndovascular foundation
Endovascular foundationSalutaria
 
Poster insuficiencia 50
Poster insuficiencia 50Poster insuficiencia 50
Poster insuficiencia 50Salutaria
 
Block insuficiencia venosa_49
Block insuficiencia venosa_49Block insuficiencia venosa_49
Block insuficiencia venosa_49Salutaria
 
Cuaderno consejos 48
Cuaderno consejos 48Cuaderno consejos 48
Cuaderno consejos 48Salutaria
 
Folleto embarazada 169
Folleto embarazada 169Folleto embarazada 169
Folleto embarazada 169Salutaria
 
Newsletter iii2016
Newsletter iii2016Newsletter iii2016
Newsletter iii2016Salutaria
 
Ben179 productfolder begraft_peripheral_400876_001_004_wtk2_lr
Ben179 productfolder begraft_peripheral_400876_001_004_wtk2_lrBen179 productfolder begraft_peripheral_400876_001_004_wtk2_lr
Ben179 productfolder begraft_peripheral_400876_001_004_wtk2_lrSalutaria
 
Preliminary program site update 2016
Preliminary program site update 2016Preliminary program site update 2016
Preliminary program site update 2016Salutaria
 
Au0525 eu1.vbn.vascularspecialist.ad.fnl
Au0525 eu1.vbn.vascularspecialist.ad.fnlAu0525 eu1.vbn.vascularspecialist.ad.fnl
Au0525 eu1.vbn.vascularspecialist.ad.fnlSalutaria
 
News febrero16
News febrero16News febrero16
News febrero16Salutaria
 
Kmfundaciones20151209190422
Kmfundaciones20151209190422Kmfundaciones20151209190422
Kmfundaciones20151209190422Salutaria
 

More from Salutaria (20)

Programa preliminar site 2017
Programa preliminar site 2017Programa preliminar site 2017
Programa preliminar site 2017
 
News sept16
News sept16News sept16
News sept16
 
News med
News medNews med
News med
 
Lomb 14266 intelli flex
Lomb 14266 intelli flex Lomb 14266 intelli flex
Lomb 14266 intelli flex
 
Newsjunio16
Newsjunio16Newsjunio16
Newsjunio16
 
Summit cela para news letter
Summit cela para news letterSummit cela para news letter
Summit cela para news letter
 
Newsmayo16
Newsmayo16Newsmayo16
Newsmayo16
 
PROGRAMA FINAL 16
PROGRAMA FINAL 16PROGRAMA FINAL 16
PROGRAMA FINAL 16
 
Endovascular foundation
Endovascular foundationEndovascular foundation
Endovascular foundation
 
Poster insuficiencia 50
Poster insuficiencia 50Poster insuficiencia 50
Poster insuficiencia 50
 
Block insuficiencia venosa_49
Block insuficiencia venosa_49Block insuficiencia venosa_49
Block insuficiencia venosa_49
 
Cuaderno consejos 48
Cuaderno consejos 48Cuaderno consejos 48
Cuaderno consejos 48
 
Folleto embarazada 169
Folleto embarazada 169Folleto embarazada 169
Folleto embarazada 169
 
Nws april16
Nws april16Nws april16
Nws april16
 
Newsletter iii2016
Newsletter iii2016Newsletter iii2016
Newsletter iii2016
 
Ben179 productfolder begraft_peripheral_400876_001_004_wtk2_lr
Ben179 productfolder begraft_peripheral_400876_001_004_wtk2_lrBen179 productfolder begraft_peripheral_400876_001_004_wtk2_lr
Ben179 productfolder begraft_peripheral_400876_001_004_wtk2_lr
 
Preliminary program site update 2016
Preliminary program site update 2016Preliminary program site update 2016
Preliminary program site update 2016
 
Au0525 eu1.vbn.vascularspecialist.ad.fnl
Au0525 eu1.vbn.vascularspecialist.ad.fnlAu0525 eu1.vbn.vascularspecialist.ad.fnl
Au0525 eu1.vbn.vascularspecialist.ad.fnl
 
News febrero16
News febrero16News febrero16
News febrero16
 
Kmfundaciones20151209190422
Kmfundaciones20151209190422Kmfundaciones20151209190422
Kmfundaciones20151209190422
 

Hypogastric artery preservation with sandwich technique short summary massmann

  • 1. Dr. med. Alexander Massmann, MD Saarland University Medical Center Clinic for Diagnostic and Interventional Radiology 66421 Homburg/Saar Germany Sandwich Techniques for Hypogastric Artery Preservation
  • 2. Lombard Aorfix + Gore Viabahn Sandwich for internal iliac artery • • • • 66-year-aged patient smoker 50 py CHD stroke >5 years • open aortic repair >5 years • stenting CIA/EIA with occlusion IIA 2 years progressive aneurysm right CIA/EIA 3.5 cm • progressive aneurysm left CIA 3 cm and IIA 2.5 cm
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. Lombard Aorfix + Advanta V12 Sandwich for internal iliac artery • 73-year-aged patient • smoker >100 py (FEV1 0.7 l) • CHD • AAA 6.7 cm • aneurysm left CIA 2.5 cm and IIA 3 cm
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Cook Zenith + Iliac Side Branch + Atrium Advanta V12 Sandwich for superior & inferior gluteal artery • 59-year-aged patient • CHD • diabetes mellitus type 2 • PAD walking distance 200 m • aggravation of right-sided claudication after covered-stent implantation right IIA 1 month ago