Antegrade Hybrid Chimney TEVAR Endograft in a Patient with Blunt Aortic Injury: A Challenging Case with Technical Success but Unfavorable Result

Autor:	Efstratios Koletsis, Nikolaos Charoulis, Dimitrios Dougenis, Fotini Fligou, Maria Giovani, Christina Kalogeropoulou, Fotios Eforakopoulos, Petros Zampakis
Rok vydání:	2021
Předmět:	Aortic arch medicine.medical_specialty Arterial disease Technical success Aortic injury Case Report 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Blunt law medicine.artery Ascending aorta medicine Cardiopulmonary bypass Diseases of the circulatory (Cardiovascular) system In patient cardiovascular diseases 030212 general & internal medicine business.industry General Engineering Surgery surgical procedures operative RC666-701 cardiovascular system business
Zdroj:	Case Reports in Vascular Medicine Case Reports in Vascular Medicine, Vol 2021 (2021)
ISSN:	2090-6994 2090-6986
DOI:	10.1155/2021/6380428
Popis:	Thoracic Endovascular Aortic Repair (TEVAR) has modified aortic medicine, particularly in patients with traumatic aortic injury (TAI). Conventional repair of TAI in the aortic arch is technically demanding as it requires cardiopulmonary bypass and deep hypothermic arrest with still a significant number of complications. Despite recent improvements in endovascular techniques, many patients have been excluded from endovascular repair due to unfavorable anatomy. To increase the feasibility of endovascular repair, adjunctive open extra-anatomical bypasses may be required to provide an adequate proximal landing zone. Several methods, for instance, chimney technique, hybrid technique, and fenestrated or branched stent-grafts, have been proposed as options to preserve the supra-aortic branches, each with its own advantages and disadvantages. We herein present a patient with complex anatomical features and blunt aortic injury, who underwent antegrade chimney stent-graft deployment through the ascending aorta, not otherwise amenable to standard retrograde delivery because of severe peripheral artery disease. The remarkable aspect, in this case, is that both stents were placed antegrade, through the ascending aorta.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ff87270cd07de4f0bdb2282a7c585b79 https://doi.org/10.1155/2021/6380428 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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