PURPOSE: To extend the role of endovascular aneurysm repair in the presence of angulation and dilatation of the distal arch that compromise the proximal implantation site. CASE REPORT: A 70-year-old man with an asymptomatic 7-cm thoracic aortic aneurysm was treated with a TAG stent-graft. However, attempts to gain secure hemostatic implantation of the endograft resulted in inadvertent coverage of the subclavian and left carotid arteries. Flow to the left carotid artery was re-established by transcarotid insertion of a self-expanding covered stent alongside the primary stent-graft. CONCLUSION: This technique may have a role as an intended part of endovascular repair when there is no suitable implantation site in the descending thoracic aorta.
PURPOSE: To extend the role of endovascular aneurysm repair in the presence of angulation and dilatation of the distal arch that compromise the proximal implantation site. CASE REPORT: A 70-year-old man with an asymptomatic 7-cm thoracic aortic aneurysm was treated with a TAG stent-graft. However, attempts to gain secure hemostatic implantation of the endograft resulted in inadvertent coverage of the subclavian and left carotid arteries. Flow to the left carotid artery was re-established by transcarotid insertion of a self-expanding covered stent alongside the primary stent-graft. CONCLUSION: This technique may have a role as an intended part of endovascular repair when there is no suitable implantation site in the descending thoracic aorta.
Authors: Konstantinos G Moulakakis; Spyridon N Mylonas; Ilias Dalainas; George S Sfyroeras; Fotis Markatis; Thomas Kotsis; John Kakisis; Christos D Liapis Journal: Ann Cardiothorac Surg Date: 2013-05
Authors: Jade S Hiramoto; Catherine K Chang; Linda M Reilly; Darren B Schneider; Joseph H Rapp; Timothy A M Chuter Journal: J Vasc Surg Date: 2009-02-23 Impact factor: 4.268
Authors: Won Ho Kim; Jin Ho Choi; Sang Hyun Park; Yu Jeong Choi; Kyung Tae Jeong; Sun Chang Park; Sahng Lee Journal: Yonsei Med J Date: 2013-01-01 Impact factor: 2.759