The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta

Due to the risk of mobilizing plaque fragments, transfemoral TEVAR is a potentially dangerous procedure in patients with a coral reef aorta. We describe a practical method for transfemoral TEVAR in a patient with a degenerative thoracic aneurysm and a coral reef aorta. After placing a filter cathete...

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Autores principales: Portugaller, Rupert Horst, Steiner, Jakob, Schmid, Florian, Knez, Igor, Asslaber, Martin, Deutschmann, Hannes A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117348/
https://www.ncbi.nlm.nih.gov/pubmed/35476090
http://dx.doi.org/10.1007/s00270-022-03147-6
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author Portugaller, Rupert Horst
Steiner, Jakob
Schmid, Florian
Knez, Igor
Asslaber, Martin
Deutschmann, Hannes A.
author_facet Portugaller, Rupert Horst
Steiner, Jakob
Schmid, Florian
Knez, Igor
Asslaber, Martin
Deutschmann, Hannes A.
author_sort Portugaller, Rupert Horst
collection PubMed
description Due to the risk of mobilizing plaque fragments, transfemoral TEVAR is a potentially dangerous procedure in patients with a coral reef aorta. We describe a practical method for transfemoral TEVAR in a patient with a degenerative thoracic aneurysm and a coral reef aorta. After placing a filter catheter in the abdominal aorta via a contralateral percutaneous femoral access, a working channel through the distal thoracic aorta was created with a balloon-expandable stent graft in the coral reef segment. Thereafter, transfemoral TEVAR could be performed successfully, without any complications. The additional use of a percutaneously placed filter catheter potentially allows reduction of peripheral embolism and hence may prevent patients from more invasive treatment.
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spelling pubmed-91173482022-05-20 The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta Portugaller, Rupert Horst Steiner, Jakob Schmid, Florian Knez, Igor Asslaber, Martin Deutschmann, Hannes A. Cardiovasc Intervent Radiol Case Report Due to the risk of mobilizing plaque fragments, transfemoral TEVAR is a potentially dangerous procedure in patients with a coral reef aorta. We describe a practical method for transfemoral TEVAR in a patient with a degenerative thoracic aneurysm and a coral reef aorta. After placing a filter catheter in the abdominal aorta via a contralateral percutaneous femoral access, a working channel through the distal thoracic aorta was created with a balloon-expandable stent graft in the coral reef segment. Thereafter, transfemoral TEVAR could be performed successfully, without any complications. The additional use of a percutaneously placed filter catheter potentially allows reduction of peripheral embolism and hence may prevent patients from more invasive treatment. Springer US 2022-04-26 2022 /pmc/articles/PMC9117348/ /pubmed/35476090 http://dx.doi.org/10.1007/s00270-022-03147-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Portugaller, Rupert Horst
Steiner, Jakob
Schmid, Florian
Knez, Igor
Asslaber, Martin
Deutschmann, Hannes A.
The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta
title The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta
title_full The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta
title_fullStr The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta
title_full_unstemmed The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta
title_short The Use of a Commercially Available Endovascular Filter Catheter (Capturex(®)) for Thoracic Endovascular Aortic Repair (TEVAR) in a Patient with a Coral Reef Aorta
title_sort use of a commercially available endovascular filter catheter (capturex(®)) for thoracic endovascular aortic repair (tevar) in a patient with a coral reef aorta
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9117348/
https://www.ncbi.nlm.nih.gov/pubmed/35476090
http://dx.doi.org/10.1007/s00270-022-03147-6
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