Hybrid covered endovascular reconstruction of the aortic bifurcation (CERAB) procedure is preferable to aortobifemoral bypass for limb-threatening aortoiliac occlusive disease during the COVID-19 crisis Article Swipe

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Medicine Aortoiliac occlusive disease Coronavirus disease 2019 (COVID-19) Perioperative Pandemic Intensive care unit Aortic bifurcation Endovascular treatment Critical limb ischemia Surgery Intensive care medicine Disease Aorta Vascular disease Internal medicine Aneurysm Arterial disease Infectious disease (medical specialty)

Helen McElligott , Conor Toale , Eamon G. Kavanagh , Michael A. Moloney ·

YOU? · · 2020 · Open Access · · DOI: https://doi.org/10.1016/j.jvscit.2020.08.019 · OA: W3082846791

The COVID-19 pandemic is disrupting the provision of acute vascular surgery across the globe. Limited evidence of the impact of nosocomial infection on patient outcomes as well as concerns about critical care capacity will likely have an impact on surgical decision-making. Endovascular therapy offers a way by which perioperative risk can be reduced for vascular patients while also reducing the impact of acute surgery on intensive care unit capacity. This case report describes the management of a patient with complex aortoiliac occlusive disease by a hybrid endovascular approach in light of these constraints, with a successful outcome.