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Published in: CardioVascular and Interventional Radiology 10/2017

01-10-2017 | Case Report

Transfemoral Snare-Assisted Advancement of Stent Graft Across Acutely Angulated Aortic Arch

Authors: Sang Yub Lee, Dongho Hyun, Kwang Bo Park, Hong Suk Park, Young Soo Do

Published in: CardioVascular and Interventional Radiology | Issue 10/2017

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Abstract

Delivery of stent grafts during thoracic endovascular aortic replacement can be challenging, especially in aortic arches with severe angulation. Several techniques have been recommended to achieve this. We introduce a simple technical method, transfemoral snare-assisted device advance, which was successful in a 72-year-old woman with an aneurysm in a severely angulated aortic arch and review various technical tips.
Literature
1.
go back to reference Scali ST, Goodney PP, Walsh DB, et al. National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice. J Vasc Surg. 2011;53(6):1499–505.CrossRefPubMedPubMedCentral Scali ST, Goodney PP, Walsh DB, et al. National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice. J Vasc Surg. 2011;53(6):1499–505.CrossRefPubMedPubMedCentral
2.
go back to reference Xenos ES, Minion DJ, Davenport DL, et al. Endovascular versus open repair for descending thoracic aortic rupture: institutional experience and meta-analysis. Eur J Cardiothorac Surg. 2009;35(2):282–6.CrossRefPubMed Xenos ES, Minion DJ, Davenport DL, et al. Endovascular versus open repair for descending thoracic aortic rupture: institutional experience and meta-analysis. Eur J Cardiothorac Surg. 2009;35(2):282–6.CrossRefPubMed
3.
go back to reference Demetriades D, Velmahos GC, Scalea TM, et al. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma. 2008;64(3):561–70.CrossRefPubMed Demetriades D, Velmahos GC, Scalea TM, et al. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma. 2008;64(3):561–70.CrossRefPubMed
4.
go back to reference Desai ND, Burtch K, Moser W, et al. Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms. J Thorac Cardiovasc Surg. 2012;144(3):604–9.CrossRefPubMed Desai ND, Burtch K, Moser W, et al. Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms. J Thorac Cardiovasc Surg. 2012;144(3):604–9.CrossRefPubMed
5.
go back to reference Jonker FH, Trimarchi S, Verhagen HJ, Moll FL, Sumpio BE, Muhs BE. Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm. J Vasc Surg. 2010;51(4):1026–32.CrossRefPubMed Jonker FH, Trimarchi S, Verhagen HJ, Moll FL, Sumpio BE, Muhs BE. Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm. J Vasc Surg. 2010;51(4):1026–32.CrossRefPubMed
6.
go back to reference Syed MI, Akhter T, Wahid U, Shaikh A, Mirza M, Tengesdahl GJ. Subclavian stenting in a hostile aortic arch facilitated by a low-profile brachial artery through-and-through access. Cardiovasc Revasc Med. 2012;13(2):141.CrossRefPubMed Syed MI, Akhter T, Wahid U, Shaikh A, Mirza M, Tengesdahl GJ. Subclavian stenting in a hostile aortic arch facilitated by a low-profile brachial artery through-and-through access. Cardiovasc Revasc Med. 2012;13(2):141.CrossRefPubMed
8.
go back to reference Kawatani Y, Nakamura Y, Hayashi Y, et al. Thoracic endovascular aortic repair of a severely angulated aorta using a double-wire technique. J Surg Case Rep. 2016. doi:10.1093/jscr/rjw125. Kawatani Y, Nakamura Y, Hayashi Y, et al. Thoracic endovascular aortic repair of a severely angulated aorta using a double-wire technique. J Surg Case Rep. 2016. doi:10.​1093/​jscr/​rjw125.
9.
go back to reference Eun NL, Lee D, Song SW, Joo SM, Kolbel T, Lee KH. Balloon-Supported Passage of a Stent-Graft into the Aortic Arch. Korean J Radiol. 2015;16(4):744–8.CrossRefPubMedPubMedCentral Eun NL, Lee D, Song SW, Joo SM, Kolbel T, Lee KH. Balloon-Supported Passage of a Stent-Graft into the Aortic Arch. Korean J Radiol. 2015;16(4):744–8.CrossRefPubMedPubMedCentral
10.
go back to reference Joseph G, Stephen E, Chacko S, Sen I, Joseph E. Transseptal ascending aortic access and snare-assisted pull down of the delivery system to facilitate stent-graft passage in the aortic arch during TEVAR. J Endovasc Ther. 2013;20(2):223–30.CrossRefPubMed Joseph G, Stephen E, Chacko S, Sen I, Joseph E. Transseptal ascending aortic access and snare-assisted pull down of the delivery system to facilitate stent-graft passage in the aortic arch during TEVAR. J Endovasc Ther. 2013;20(2):223–30.CrossRefPubMed
11.
go back to reference Dorros G, Dorros AM, Planton S, O’Hair D, Zayed M. Transseptal guidewire stabilization facilitates stent-graft deployment for persistent proximal ascending aortic dissection. J Endovasc Ther. 2000;7(6):506–12.CrossRefPubMed Dorros G, Dorros AM, Planton S, O’Hair D, Zayed M. Transseptal guidewire stabilization facilitates stent-graft deployment for persistent proximal ascending aortic dissection. J Endovasc Ther. 2000;7(6):506–12.CrossRefPubMed
12.
go back to reference Kolbel T, Rostock T, Larena-Avellaneda A, Treede H, Franzen O, Debus ES. An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch. J Endovasc Ther. 2010;17(6):744–9.CrossRefPubMed Kolbel T, Rostock T, Larena-Avellaneda A, Treede H, Franzen O, Debus ES. An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch. J Endovasc Ther. 2010;17(6):744–9.CrossRefPubMed
13.
go back to reference MacDonald S, Cheung A, Sidhu R, Rheaume P, Grenon SM, Clement J. Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart. J Vasc Surg. 2009;49(3):759–62.CrossRefPubMed MacDonald S, Cheung A, Sidhu R, Rheaume P, Grenon SM, Clement J. Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart. J Vasc Surg. 2009;49(3):759–62.CrossRefPubMed
14.
go back to reference Kolbel T, Reiter B, Schirmer J, et al. Customized transapical thoracic endovascular repair for acute type A dissection. Ann Thorac Surg. 2013;95(2):694–6.CrossRefPubMed Kolbel T, Reiter B, Schirmer J, et al. Customized transapical thoracic endovascular repair for acute type A dissection. Ann Thorac Surg. 2013;95(2):694–6.CrossRefPubMed
Metadata
Title
Transfemoral Snare-Assisted Advancement of Stent Graft Across Acutely Angulated Aortic Arch
Authors
Sang Yub Lee
Dongho Hyun
Kwang Bo Park
Hong Suk Park
Young Soo Do
Publication date
01-10-2017
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 10/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-017-1714-1

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