Gabriel Chan1, Lawrence Hwee Han Quek1, Glenn Leong Wei Tan2,3, Uei Pua4,5. 1. Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore. 2. Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore. 3. Lee Kong Chian School of Medicine, Nanyang Technological University, 50 Nanyang Ave, Singapore, 639798, Singapore. 4. Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore. druei@yahoo.com. 5. Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Rd 119228, NUHS Tower Block, Level 11, Singapore, 117597, Singapore. druei@yahoo.com.
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.
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.
Entities:
Keywords:
Aneurysms; Arterial intervention; Experimental IR