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Balloon-Supported Passage of a Stent-Graft into the Aortic Arch

A 62-year-old man was admitted, and thoracic endovascular aortic repair (TEVAR) procedure was performed to treat an accidentally detected aortic aneurysm, which was 63 mm in diameter. While performing TEVAR, the passage of the stent-graft introducer system was impossible due to the prolapse of the i...

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Detalles Bibliográficos
Autores principales: Eun, Na Lae, Lee, Dahye, Song, Suk-Won, Joo, Seung-Moon, Kölbel, Tilo, Lee, Kwang-Hun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499538/
https://www.ncbi.nlm.nih.gov/pubmed/26175573
http://dx.doi.org/10.3348/kjr.2015.16.4.744
Descripción
Sumario:A 62-year-old man was admitted, and thoracic endovascular aortic repair (TEVAR) procedure was performed to treat an accidentally detected aortic aneurysm, which was 63 mm in diameter. While performing TEVAR, the passage of the stent-graft introducer system was impossible due to the prolapse of the introducer system into a wide-necked aneurysm; this aneurysm was located at the greater curvature of the proximal descending thoracic aorta. In order to advance the introducer system, a compliant balloon was inflated. Thus, we created an artificial wall in the aneurysm with this inflated balloon. Finally, we were able to advance the introducer system into the target zone.