Transapical Access for Antegrade Catheterization of the Inner Branches of an Arch Stent-Graft Deployed Distal to an Ascending Arch Stent-Graft

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Transapical Access for Antegrade Catheterization of the Inner Branches of an Arch Stent-Graft Deployed Distal to an Ascending Arch Stent-Graft. / Law, Yuk; Kölbel, Tilo; Schirmer, Johannes; Aleed, Shadi; Mogensen, John; Debus, E Sebastian; Detter, Christian; Tsilimparis, Nikolaos.

in: J ENDOVASC THER, Jahrgang 25, Nr. 5, 10.2018, S. 542-546.

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@article{4ba1a8d3ea6a44b594bd79e554038e8d,
title = "Transapical Access for Antegrade Catheterization of the Inner Branches of an Arch Stent-Graft Deployed Distal to an Ascending Arch Stent-Graft",
abstract = "Propose: To describe a technique for antegrade cannulation and bridging of the supra-aortic branches through a transapical access in the treatment of an arch aneurysm using combined ascending and branched arch stent-grafts.TECHNIQUE: An 81-year-old man with a past history of open infrarenal aortic repair, emergent endovascular aortic repair for thoracic aortic rupture, and later perivisceral 4-vessel branched endovascular repair of type I thoracoabdominal aneurysm presented for repair of a concomitant 7.5-cm arch aneurysm. Because of a 44-mm ascending aorta, a tapered 50/44-mm ascending stent-graft was delivered through a transapical access to establish an adequate landing zone before implantation of a 46-mm inner branched arch device via a transfemoral route. Innominate and left subclavian arteries were antegradely cannulated and bridged through the existing transapical path.CONCLUSION: Our case demonstrates the feasibility of transapical access for cannulation of an arch branched device, while introducing the theoretical possibility of completing the entire procedure through a transapical access.",
keywords = "Journal Article",
author = "Yuk Law and Tilo K{\"o}lbel and Johannes Schirmer and Shadi Aleed and John Mogensen and Debus, {E Sebastian} and Christian Detter and Nikolaos Tsilimparis",
year = "2018",
month = oct,
doi = "10.1177/1526602818792042",
language = "English",
volume = "25",
pages = "542--546",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "5",

}

RIS

TY - JOUR

T1 - Transapical Access for Antegrade Catheterization of the Inner Branches of an Arch Stent-Graft Deployed Distal to an Ascending Arch Stent-Graft

AU - Law, Yuk

AU - Kölbel, Tilo

AU - Schirmer, Johannes

AU - Aleed, Shadi

AU - Mogensen, John

AU - Debus, E Sebastian

AU - Detter, Christian

AU - Tsilimparis, Nikolaos

PY - 2018/10

Y1 - 2018/10

N2 - Propose: To describe a technique for antegrade cannulation and bridging of the supra-aortic branches through a transapical access in the treatment of an arch aneurysm using combined ascending and branched arch stent-grafts.TECHNIQUE: An 81-year-old man with a past history of open infrarenal aortic repair, emergent endovascular aortic repair for thoracic aortic rupture, and later perivisceral 4-vessel branched endovascular repair of type I thoracoabdominal aneurysm presented for repair of a concomitant 7.5-cm arch aneurysm. Because of a 44-mm ascending aorta, a tapered 50/44-mm ascending stent-graft was delivered through a transapical access to establish an adequate landing zone before implantation of a 46-mm inner branched arch device via a transfemoral route. Innominate and left subclavian arteries were antegradely cannulated and bridged through the existing transapical path.CONCLUSION: Our case demonstrates the feasibility of transapical access for cannulation of an arch branched device, while introducing the theoretical possibility of completing the entire procedure through a transapical access.

AB - Propose: To describe a technique for antegrade cannulation and bridging of the supra-aortic branches through a transapical access in the treatment of an arch aneurysm using combined ascending and branched arch stent-grafts.TECHNIQUE: An 81-year-old man with a past history of open infrarenal aortic repair, emergent endovascular aortic repair for thoracic aortic rupture, and later perivisceral 4-vessel branched endovascular repair of type I thoracoabdominal aneurysm presented for repair of a concomitant 7.5-cm arch aneurysm. Because of a 44-mm ascending aorta, a tapered 50/44-mm ascending stent-graft was delivered through a transapical access to establish an adequate landing zone before implantation of a 46-mm inner branched arch device via a transfemoral route. Innominate and left subclavian arteries were antegradely cannulated and bridged through the existing transapical path.CONCLUSION: Our case demonstrates the feasibility of transapical access for cannulation of an arch branched device, while introducing the theoretical possibility of completing the entire procedure through a transapical access.

KW - Journal Article

U2 - 10.1177/1526602818792042

DO - 10.1177/1526602818792042

M3 - SCORING: Journal articles

C2 - 30056790

VL - 25

SP - 542

EP - 546

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 5

ER -