A Novel Technique for Hybrid Aortic Arch Reconstruction: The Deployment Cuff Technique
Autor: | Adam W. Beck, Tomas D. Martin, Junewai L. Reoma, Philip J. Hess |
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Rok vydání: | 2014 |
Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch medicine.medical_specialty Elephant trunks medicine.medical_treatment Aorta Thoracic medicine.artery Humans Medicine Arch Aortic dissection Aortic Aneurysm Thoracic business.industry nutritional and metabolic diseases Stent medicine.disease Surgery Software deployment Descending aorta Cuff cardiovascular system Radiology Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
Zdroj: | The Annals of Thoracic Surgery. 97:1464-1466 |
ISSN: | 0003-4975 |
Popis: | Extensive thoracic aortic aneurysmal disease involving the arch and descending aorta has been a difficult problem. The "frozen elephant trunk" single-stage procedure combining open arch repair under circulatory arrest with a deployment of a stented thoracic endograft has shown good results in recent reports, but it can be technically challenging to deploy the endovascular device in the exact location. In patients with aortic dissection, back bleeding through the false lumen necessitates obliteration of the false lumen proximally. We describe a technique that allows for precise deployment and obliteration of false lumen flow at the proximal end of the stent graft. |
Databáze: | OpenAIRE |
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