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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...

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Autores principales: Frydman, Asher A., Paquet, Maude, Xing, Chuce, Valdis, Matthew, Power, Adam, Chu, Michael W. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
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.
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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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