Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery

Subclavian artery coverage is frequently required to achieve an adequate proximal seal during thoracic endovascular aortic repair. The thoracic branch endoprosthesis (TBE; W.L. Gore & Associates) is the first U.S. Food and Drug Administration–approved branched device for thoracic endovascular ao...

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Autores principales: Dhindsa, Yasmeen, DiBartolomeo, Alexander, Magee, Gregory A., Fleischman, Fernando, Han, Sukgu M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Innovative technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520427/
https://www.ncbi.nlm.nih.gov/pubmed/37767347
http://dx.doi.org/10.1016/j.jvscit.2023.101289
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author Dhindsa, Yasmeen
DiBartolomeo, Alexander
Magee, Gregory A.
Fleischman, Fernando
Han, Sukgu M.
author_facet Dhindsa, Yasmeen
DiBartolomeo, Alexander
Magee, Gregory A.
Fleischman, Fernando
Han, Sukgu M.
author_sort Dhindsa, Yasmeen
collection PubMed
description Subclavian artery coverage is frequently required to achieve an adequate proximal seal during thoracic endovascular aortic repair. The thoracic branch endoprosthesis (TBE; W.L. Gore & Associates) is the first U.S. Food and Drug Administration–approved branched device for thoracic endovascular aortic repair, designed for left subclavian artery incorporation. However, anatomic suitability of the TBE has been shown to be limited. In the present report, we describe a novel technique using the TBE in a sandwich periscope configuration to allow for emergent repair of a ruptured thoracic aortic aneurysm with a highly angulated proximal seal zone and aberrant right subclavian artery.
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spelling pubmed-105204272023-09-27 Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery Dhindsa, Yasmeen DiBartolomeo, Alexander Magee, Gregory A. Fleischman, Fernando Han, Sukgu M. J Vasc Surg Cases Innov Tech Innovative technique Subclavian artery coverage is frequently required to achieve an adequate proximal seal during thoracic endovascular aortic repair. The thoracic branch endoprosthesis (TBE; W.L. Gore & Associates) is the first U.S. Food and Drug Administration–approved branched device for thoracic endovascular aortic repair, designed for left subclavian artery incorporation. However, anatomic suitability of the TBE has been shown to be limited. In the present report, we describe a novel technique using the TBE in a sandwich periscope configuration to allow for emergent repair of a ruptured thoracic aortic aneurysm with a highly angulated proximal seal zone and aberrant right subclavian artery. Elsevier 2023-08-09 /pmc/articles/PMC10520427/ /pubmed/37767347 http://dx.doi.org/10.1016/j.jvscit.2023.101289 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Innovative technique
Dhindsa, Yasmeen
DiBartolomeo, Alexander
Magee, Gregory A.
Fleischman, Fernando
Han, Sukgu M.
Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery
title Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery
title_full Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery
title_fullStr Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery
title_full_unstemmed Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery
title_short Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery
title_sort sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery
topic Innovative technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10520427/
https://www.ncbi.nlm.nih.gov/pubmed/37767347
http://dx.doi.org/10.1016/j.jvscit.2023.101289
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