A Case of Thoracic Endovascular Aortic Repair Using Carotid Access with Axillary–Carotid Bypass for Descending Aortic Aneurysm in a Patient with Aortoiliac Occlusive Disease
Autor: | Kozo Matsuo, Hideomi Hasegawa, Shintaro Koizumi, Naoki Hayashida, Takahiro Ito, Hirokazu Murayama, Masao Hirano, Soichi Asano, Yusuke Shibata, Nobuyuki Hirose, Shinichiro Abe, Masanao Ohba, Masashi Kabasawa, Hiroki Ikeuchi |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
left carotid artery access Aortoiliac occlusive disease Case Report Femoral artery 030204 cardiovascular system & hematology Thoracic aortic aneurysm 03 medical and health sciences 0302 clinical medicine axillary–carotid artery bypass medicine.artery Medicine Common carotid artery antegrade thoracic endovascular aortic repair business.industry General Medicine medicine.disease Hydrocephalus Shunt (medical) Surgery medicine.anatomical_structure Clamp 030228 respiratory system cardiovascular system business Artery |
Zdroj: | Annals of Vascular Diseases |
ISSN: | 1881-6428 1881-641X |
DOI: | 10.3400/avd.cr.18-00143 |
Popis: | The authors report a 71-year-old male with descending thoracic aortic aneurysm and multiple risk factors (aortoiliac occlusive disease, obesity, ascending aorta dilatation, and history of left ventriculoperitoneal shunt for hydrocephalus) who was treated with thoracic endovascular aortic repair (TEVAR) via left common carotid artery (LCCA) access and left axillary-carotid artery (Ax-CA) bypass; this approach shortened the LCCA clamp time during the procedure. The patient was discharged without any complications. TEVAR via LCCA access with left Ax-CA bypass is a useful and safe procedure for patients in whom conventional femoral artery access is not feasible. |
Databáze: | OpenAIRE |
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