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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 7/2016

01-07-2016 | Technical Note

Use of Suture-Mediated Closure Device in Percutaneous Direct Carotid Puncture During Chimney-Thoracic Endovascular Aortic Repair

Authors: Gabriel Chan, Lawrence Hwee Han Quek, Glenn Leong Wei Tan, Uei Pua

Published in: CardioVascular and Interventional Radiology | Issue 7/2016

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Abstract

Background

Insertion of a carotid chimney graft during thoracic endovascular aortic repair (Ch-TEVAR) is a recognized technique to extend the proximal landing zone into the aortic arch in the treatment of thoracic aortic disease. Conventional technique requires surgical exposure of the carotid artery for insertion of the carotid chimney graft.

Methodology

We describe our experience in the use of a suture-mediated closure device in percutaneous Ch-TEVAR in four patients.

Results

Successful hemostasis was achieved in all four patients. No complications related to the carotid puncture were recorded.

Conclusion

We conclude that using suture-mediated closure device for carotid closure appears feasible and deserves further studies as a potential alternative to conventional surgical approach.
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Metadata
Title
Use of Suture-Mediated Closure Device in Percutaneous Direct Carotid Puncture During Chimney-Thoracic Endovascular Aortic Repair
Authors
Gabriel Chan
Lawrence Hwee Han Quek
Glenn Leong Wei Tan
Uei Pua
Publication date
01-07-2016
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 7/2016
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1294-5

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