Erschienen in:
13.01.2016 | Technical Note
Use of Suture-Mediated Closure Device in Percutaneous Direct Carotid Puncture During Chimney-Thoracic Endovascular Aortic Repair
verfasst von:
Gabriel Chan, Lawrence Hwee Han Quek, Glenn Leong Wei Tan, Uei Pua
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 7/2016
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Abstract
Background
Insertion of a carotid chimney graft during thoracic endovascular aortic repair (Ch-TEVAR) is a recognized technique to extend the proximal landing zone into the aortic arch in the treatment of thoracic aortic disease. Conventional technique requires surgical exposure of the carotid artery for insertion of the carotid chimney graft.
Methodology
We describe our experience in the use of a suture-mediated closure device in percutaneous Ch-TEVAR in four patients.
Results
Successful hemostasis was achieved in all four patients. No complications related to the carotid puncture were recorded.
Conclusion
We conclude that using suture-mediated closure device for carotid closure appears feasible and deserves further studies as a potential alternative to conventional surgical approach.