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"How I Do It" Video Session

VH08 - Chimney Endovascular Reconstruction of the Aortic Bifurcation (ChERAB) for Severe Aortoiliac Disease

Thursday, June 15, 2023
4:33 PM – 4:42 PM ET

    Submitting & Presenting Author(s)

  • Sebastian Cifuentes, MD

    Research Fellow
    Division of Vascular and Endovascular Surgery, Mayo Clinic
    Rochester, Minnesota

    • Co-Author(s)

  • Armin Tabiei

    Vascular Surgery Research Trainee and Medical Student
    Mayo Clinic and Karolinska Institutet
    Stockholm, Stockholms Lan, Sweden

  • Jesse Chait, DO

    Resident Physician
    Mayo Clinic
    Rochester, Minnesota

  • AH

    Ansab Haider

    Division of Vascular and Endovascular Surgery, Mayo Clinic
    Rochester, Minnesota

    • Senior Author(s)

  • Fahad Shuja, MBBS

    Assistant Professor of Vascular and Endovascular Surgery
    Division of Vascular and Endovascular Surgery, Mayo Clinic
    Rochester, Minnesota

Summary: Aortoiliac occlusive disease involving mesenteric branches poses an interesting challenge. While open surgical approach is considered the gold standard, endovascular techniques such as covered endovascular reconstruction of the aortic bifurcation with inferior mesenteric artery chimney (ChERAB) has been presented as an alternative in patients unfit for major surgical repair. A 64-year-old male with bilateral chronic limb-threatening ischemia and severe chronic malnutrition underwent ChERAB due to significant intraoperative risk. We have presented the operative technique used. The intraoperative course was successful, and postoperatively, the patient underwent a successful, planned left-below-knee amputation and healed his right lower extremity wounds.