Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 10/2017

09.06.2017 | Case Report

Transfemoral Snare-Assisted Advancement of Stent Graft Across Acutely Angulated Aortic Arch

verfasst von: Sang Yub Lee, Dongho Hyun, Kwang Bo Park, Hong Suk Park, Young Soo Do

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Abstract

Delivery of stent grafts during thoracic endovascular aortic replacement can be challenging, especially in aortic arches with severe angulation. Several techniques have been recommended to achieve this. We introduce a simple technical method, transfemoral snare-assisted device advance, which was successful in a 72-year-old woman with an aneurysm in a severely angulated aortic arch and review various technical tips.
Literatur
1.
Zurück zum Zitat Scali ST, Goodney PP, Walsh DB, et al. National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice. J Vasc Surg. 2011;53(6):1499–505.CrossRefPubMedPubMedCentral Scali ST, Goodney PP, Walsh DB, et al. National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice. J Vasc Surg. 2011;53(6):1499–505.CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Xenos ES, Minion DJ, Davenport DL, et al. Endovascular versus open repair for descending thoracic aortic rupture: institutional experience and meta-analysis. Eur J Cardiothorac Surg. 2009;35(2):282–6.CrossRefPubMed Xenos ES, Minion DJ, Davenport DL, et al. Endovascular versus open repair for descending thoracic aortic rupture: institutional experience and meta-analysis. Eur J Cardiothorac Surg. 2009;35(2):282–6.CrossRefPubMed
3.
Zurück zum Zitat Demetriades D, Velmahos GC, Scalea TM, et al. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma. 2008;64(3):561–70.CrossRefPubMed Demetriades D, Velmahos GC, Scalea TM, et al. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma. 2008;64(3):561–70.CrossRefPubMed
4.
Zurück zum Zitat Desai ND, Burtch K, Moser W, et al. Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms. J Thorac Cardiovasc Surg. 2012;144(3):604–9.CrossRefPubMed Desai ND, Burtch K, Moser W, et al. Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms. J Thorac Cardiovasc Surg. 2012;144(3):604–9.CrossRefPubMed
5.
Zurück zum Zitat Jonker FH, Trimarchi S, Verhagen HJ, Moll FL, Sumpio BE, Muhs BE. Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm. J Vasc Surg. 2010;51(4):1026–32.CrossRefPubMed Jonker FH, Trimarchi S, Verhagen HJ, Moll FL, Sumpio BE, Muhs BE. Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm. J Vasc Surg. 2010;51(4):1026–32.CrossRefPubMed
6.
Zurück zum Zitat Syed MI, Akhter T, Wahid U, Shaikh A, Mirza M, Tengesdahl GJ. Subclavian stenting in a hostile aortic arch facilitated by a low-profile brachial artery through-and-through access. Cardiovasc Revasc Med. 2012;13(2):141.CrossRefPubMed Syed MI, Akhter T, Wahid U, Shaikh A, Mirza M, Tengesdahl GJ. Subclavian stenting in a hostile aortic arch facilitated by a low-profile brachial artery through-and-through access. Cardiovasc Revasc Med. 2012;13(2):141.CrossRefPubMed
7.
8.
Zurück zum Zitat Kawatani Y, Nakamura Y, Hayashi Y, et al. Thoracic endovascular aortic repair of a severely angulated aorta using a double-wire technique. J Surg Case Rep. 2016. doi:10.1093/jscr/rjw125. Kawatani Y, Nakamura Y, Hayashi Y, et al. Thoracic endovascular aortic repair of a severely angulated aorta using a double-wire technique. J Surg Case Rep. 2016. doi:10.​1093/​jscr/​rjw125.
9.
Zurück zum Zitat Eun NL, Lee D, Song SW, Joo SM, Kolbel T, Lee KH. Balloon-Supported Passage of a Stent-Graft into the Aortic Arch. Korean J Radiol. 2015;16(4):744–8.CrossRefPubMedPubMedCentral Eun NL, Lee D, Song SW, Joo SM, Kolbel T, Lee KH. Balloon-Supported Passage of a Stent-Graft into the Aortic Arch. Korean J Radiol. 2015;16(4):744–8.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Joseph G, Stephen E, Chacko S, Sen I, Joseph E. Transseptal ascending aortic access and snare-assisted pull down of the delivery system to facilitate stent-graft passage in the aortic arch during TEVAR. J Endovasc Ther. 2013;20(2):223–30.CrossRefPubMed Joseph G, Stephen E, Chacko S, Sen I, Joseph E. Transseptal ascending aortic access and snare-assisted pull down of the delivery system to facilitate stent-graft passage in the aortic arch during TEVAR. J Endovasc Ther. 2013;20(2):223–30.CrossRefPubMed
11.
Zurück zum Zitat Dorros G, Dorros AM, Planton S, O’Hair D, Zayed M. Transseptal guidewire stabilization facilitates stent-graft deployment for persistent proximal ascending aortic dissection. J Endovasc Ther. 2000;7(6):506–12.CrossRefPubMed Dorros G, Dorros AM, Planton S, O’Hair D, Zayed M. Transseptal guidewire stabilization facilitates stent-graft deployment for persistent proximal ascending aortic dissection. J Endovasc Ther. 2000;7(6):506–12.CrossRefPubMed
12.
Zurück zum Zitat Kolbel T, Rostock T, Larena-Avellaneda A, Treede H, Franzen O, Debus ES. An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch. J Endovasc Ther. 2010;17(6):744–9.CrossRefPubMed Kolbel T, Rostock T, Larena-Avellaneda A, Treede H, Franzen O, Debus ES. An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch. J Endovasc Ther. 2010;17(6):744–9.CrossRefPubMed
13.
Zurück zum Zitat MacDonald S, Cheung A, Sidhu R, Rheaume P, Grenon SM, Clement J. Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart. J Vasc Surg. 2009;49(3):759–62.CrossRefPubMed MacDonald S, Cheung A, Sidhu R, Rheaume P, Grenon SM, Clement J. Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart. J Vasc Surg. 2009;49(3):759–62.CrossRefPubMed
14.
Zurück zum Zitat Kolbel T, Reiter B, Schirmer J, et al. Customized transapical thoracic endovascular repair for acute type A dissection. Ann Thorac Surg. 2013;95(2):694–6.CrossRefPubMed Kolbel T, Reiter B, Schirmer J, et al. Customized transapical thoracic endovascular repair for acute type A dissection. Ann Thorac Surg. 2013;95(2):694–6.CrossRefPubMed
Metadaten
Titel
Transfemoral Snare-Assisted Advancement of Stent Graft Across Acutely Angulated Aortic Arch
verfasst von
Sang Yub Lee
Dongho Hyun
Kwang Bo Park
Hong Suk Park
Young Soo Do
Publikationsdatum
09.06.2017
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 10/2017
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-017-1714-1

Weitere Artikel der Ausgabe 10/2017

CardioVascular and Interventional Radiology 10/2017 Zur Ausgabe

CIRSE Standards of Practice Guidelines

CIRSE Guidelines on Percutaneous Needle Biopsy (PNB)

Letter to the Editor

Response to Letter

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.