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A Novel Technique for Thoracic Endovascular Graft Explantation
Thoracic endovascular aortic repair (TEVAR) explantation remains a challenge due to endovascular graft ingrowth into the aortic wall with time. Surgical access into the aortic arch can be difficult either via sternotomy or thoracotomy, and proximal barbs become engaged firmly into the aortic wall. E...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160868/ https://www.ncbi.nlm.nih.gov/pubmed/36872584 http://dx.doi.org/10.1177/15569845231158659 |
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author | Frydman, Asher A. Paquet, Maude Xing, Chuce Valdis, Matthew Power, Adam Chu, Michael W. A. |
author_facet | Frydman, Asher A. Paquet, Maude Xing, Chuce Valdis, Matthew Power, Adam Chu, Michael W. A. |
author_sort | Frydman, Asher A. |
collection | PubMed |
description | Thoracic endovascular aortic repair (TEVAR) explantation remains a challenge due to endovascular graft ingrowth into the aortic wall with time. Surgical access into the aortic arch can be difficult either via sternotomy or thoracotomy, and proximal barbs become engaged firmly into the aortic wall. Explantation often requires extensive thoracic aortic resection, sometimes from the distal aortic arch to the abdominal aorta, followed by reconstruction, risking injury to surrounding neurovascular structures and even death. In cases of blunt thoracic aortic injury, the original injury is often healed, and failed TEVAR could theoretically be removed when thrombotic complications occur. We present a novel technique to facilitate TEVAR recapture with limited distal thoracic aorta replacement. |
format | Online Article Text |
id | pubmed-10160868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-101608682023-05-06 A Novel Technique for Thoracic Endovascular Graft Explantation Frydman, Asher A. Paquet, Maude Xing, Chuce Valdis, Matthew Power, Adam Chu, Michael W. A. Innovations (Phila) Brief Communications Thoracic endovascular aortic repair (TEVAR) explantation remains a challenge due to endovascular graft ingrowth into the aortic wall with time. Surgical access into the aortic arch can be difficult either via sternotomy or thoracotomy, and proximal barbs become engaged firmly into the aortic wall. Explantation often requires extensive thoracic aortic resection, sometimes from the distal aortic arch to the abdominal aorta, followed by reconstruction, risking injury to surrounding neurovascular structures and even death. In cases of blunt thoracic aortic injury, the original injury is often healed, and failed TEVAR could theoretically be removed when thrombotic complications occur. We present a novel technique to facilitate TEVAR recapture with limited distal thoracic aorta replacement. SAGE Publications 2023-03-05 /pmc/articles/PMC10160868/ /pubmed/36872584 http://dx.doi.org/10.1177/15569845231158659 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Brief Communications Frydman, Asher A. Paquet, Maude Xing, Chuce Valdis, Matthew Power, Adam Chu, Michael W. A. A Novel Technique for Thoracic Endovascular Graft Explantation |
title | A Novel Technique for Thoracic Endovascular Graft
Explantation |
title_full | A Novel Technique for Thoracic Endovascular Graft
Explantation |
title_fullStr | A Novel Technique for Thoracic Endovascular Graft
Explantation |
title_full_unstemmed | A Novel Technique for Thoracic Endovascular Graft
Explantation |
title_short | A Novel Technique for Thoracic Endovascular Graft
Explantation |
title_sort | novel technique for thoracic endovascular graft
explantation |
topic | Brief Communications |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160868/ https://www.ncbi.nlm.nih.gov/pubmed/36872584 http://dx.doi.org/10.1177/15569845231158659 |
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