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
Rok vydání: 2019
Předmět:
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