Balloon protection of the mesenteric-renal vessels during embolectomy of acute paravisceral aortic occlusion

Acute thrombosis of the aorta is an uncommon, but potentially devastating, vascular emergency. The absence of pathognomonic signs or symptoms makes the diagnosis challenging and, often, time consuming. No optimal treatment has been established, with greater challenge present when the thrombus involves the mesenteric-renal vessels. In this case report, we present an innovative, hybrid treatment of a nearly occluded paravisceral aorta with endovascular aortic embolectomy through a surgically accessed right femoral artery. We protected the superior mesenteric, renal, and left common iliac arteries with endovascular balloons to avoid embolization and further complications.