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CardioVascular and Interventional Radiology

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27.04.2018 | Technical Note

Branched Thoraco-Abdominal Aortic Aneurysm Repair with Branch Access Through a Transapical Left Ventricular Approach

verfasst von: Amir Helmy, Pedro Catarino, John Dunning, Paul Hayes, Serena Goon, Andrew Winterbottom

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 8/2018

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Abstract

Branched thoracic aortic aneurysm repair requires arterial access from above the diaphragm in order to insert the visceral branches. This is routinely performed from the subclavian, axillary or carotid arteries and less commonly direct thoracic aorta puncture. The left ventricular apex is an alternative access route which is commonly used for percutaneous aortic valve replacement and rarely used for EVAR, FEVAR and TEVAR access. Here we describe two patients for which the left ventricular apex was the most suitable available access to the visceral branches during a branched thoracic aortic aneurysm repair. This access should be considered as an alternative approach if conventional arterial access is not available.

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Titel: Branched Thoraco-Abdominal Aortic Aneurysm Repair with Branch Access Through a Transapical Left Ventricular Approach
verfasst von: Amir Helmy
Pedro Catarino
John Dunning
Paul Hayes
Serena Goon
Andrew Winterbottom
Publikationsdatum: 27.04.2018
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 8/2018
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-018-1973-5

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Branched Thoraco-Abdominal Aortic Aneurysm Repair with Branch Access Through a Transapical Left Ventricular Approach

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