A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm

The off-the-shelf t-Branch device (Cook Medical, Bloomington, Ind) significantly advanced the endovascular treatment of ruptured thoracoabdominal aortic aneurysms. Improved techniques for expeditious implantation of the t-Branch may improve clinical outcomes for this emergent procedure. Currently, i...

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Detalles Bibliográficos
Autores principales: Watkins, A. Claire, Avramenko, Alla, Soler, Raphael, Fabre, Dominique, Haulon, Stephan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Aortic arch, descending thoracic, and thoracoabdominal aorta
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282457/
https://www.ncbi.nlm.nih.gov/pubmed/30547151
http://dx.doi.org/10.1016/j.jvscit.2018.09.002
Descripción
Sumario:The off-the-shelf t-Branch device (Cook Medical, Bloomington, Ind) significantly advanced the endovascular treatment of ruptured thoracoabdominal aortic aneurysms. Improved techniques for expeditious implantation of the t-Branch may improve clinical outcomes for this emergent procedure. Currently, implantation is described using axillary and femoral access. We describe the repair of a ruptured thoracoabdominal aortic aneurysm exclusively through femoral access aided by a steerable sheath and newer generation, low-profile bridging stents.

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