A Case of Thoracic Endovascular Aortic Repair Using Carotid Access with Axillary–Carotid Bypass for Descending Aortic Aneurysm in a Patient with Aortoiliac Occlusive Disease

The authors report a 71-year-old male with descending thoracic aortic aneurysm and multiple risk factors (aortoiliac occlusive disease, obesity, ascending aorta dilatation, and history of left ventriculoperitoneal shunt for hydrocephalus) who was treated with thoracic endovascular aortic repair (TEV...

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Detalles Bibliográficos
Autores principales: Asano, Soichi, Hayashida, Naoki, Shibata, Yusuke, Koizumi, Shintaro, Ito, Takahiro, Ikeuchi, Hiroki, Hasegawa, Hideomi, Abe, Shinichiro, Kabasawa, Masashi, Hirose, Nobuyuki, Ohba, Masanao, Hirano, Masao, Matsuo, Kozo, Murayama, Hirokazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434357/
https://www.ncbi.nlm.nih.gov/pubmed/30931072
http://dx.doi.org/10.3400/avd.cr.18-00143
Descripción
Sumario:The authors report a 71-year-old male with descending thoracic aortic aneurysm and multiple risk factors (aortoiliac occlusive disease, obesity, ascending aorta dilatation, and history of left ventriculoperitoneal shunt for hydrocephalus) who was treated with thoracic endovascular aortic repair (TEVAR) via left common carotid artery (LCCA) access and left axillary–carotid artery (Ax–CA) bypass; this approach shortened the LCCA clamp time during the procedure. The patient was discharged without any complications. TEVAR via LCCA access with left Ax–CA bypass is a useful and safe procedure for patients in whom conventional femoral artery access is not feasible.

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