Use of ascending aortic access for imaging and wire rail access for endograft delivery in complex aortic arch anatomy.
J Vasc Surg Cases Innov Tech
; 7(1): 6-9, 2021 Mar.
Article
em En
| MEDLINE
| ID: mdl-33665523
ABSTRACT
In cases of complex aortic arch anatomy, it can be difficult to obtain wire access into the ascending aorta for deployment of a thoracic endograft (thoracic endovascular aortic repair [TEVAR]) using a transfemoral approach. This can result from tortuosity or patulous aneurysmal areas, making platform stability difficult. We report the case of a young adult man with a large proximal left subclavian aneurysm that made zone 0 TEVAR placement very difficult with transfemoral access alone. Direct ascending aortic access through the open chest allowed for a stable through-and-through platform for endograft delivery, highlighting the efficacy of this seldom-needed technique during debranching TEVAR procedures.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
J Vasc Surg Cases Innov Tech
Ano de publicação:
2021
Tipo de documento:
Article