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Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography

BACKGROUND: Thoracic endovascular aortic repair (TEVAR) has become a widely accepted treatment strategy for patients with thoracic aortic pathologies. We present a case of TEVAR where transesophageal echocardiography (TEE) played a crucial role for adequate placement of an endovascular stent graft....

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Autores principales: Eissa, Mohamed, Mir-Ghassemi, Asadollah, Nagpal, Sudhir, Talab, Hesham F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287524/
https://www.ncbi.nlm.nih.gov/pubmed/35840820
http://dx.doi.org/10.1186/s40981-022-00539-y
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author Eissa, Mohamed
Mir-Ghassemi, Asadollah
Nagpal, Sudhir
Talab, Hesham F.
author_facet Eissa, Mohamed
Mir-Ghassemi, Asadollah
Nagpal, Sudhir
Talab, Hesham F.
author_sort Eissa, Mohamed
collection PubMed
description BACKGROUND: Thoracic endovascular aortic repair (TEVAR) has become a widely accepted treatment strategy for patients with thoracic aortic pathologies. We present a case of TEVAR where transesophageal echocardiography (TEE) played a crucial role for adequate placement of an endovascular stent graft. CASE PRESENTATION: A 71-year-old male received TEVAR for type B aortic dissection. TEE detected both true/false lumens with an intimal tear. A guidewire was inserted into the descending aorta via the left femoral artery; however, angiography failed to identify the precise location of the tip of the guidewire. TEE detected the guide wire passing through the intimal tear into the false lumen, promoted the surgeon to manipulate and advance it to the true lumen, followed by placement of a stent graft. The patient was hemodynamically stable through the whole procedure. CONCLUSION: TEE was crucially important for detecting the precise location of the guidewire and preventing complications during TEVAR. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40981-022-00539-y.
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spelling pubmed-92875242022-07-17 Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography Eissa, Mohamed Mir-Ghassemi, Asadollah Nagpal, Sudhir Talab, Hesham F. JA Clin Rep Case Report BACKGROUND: Thoracic endovascular aortic repair (TEVAR) has become a widely accepted treatment strategy for patients with thoracic aortic pathologies. We present a case of TEVAR where transesophageal echocardiography (TEE) played a crucial role for adequate placement of an endovascular stent graft. CASE PRESENTATION: A 71-year-old male received TEVAR for type B aortic dissection. TEE detected both true/false lumens with an intimal tear. A guidewire was inserted into the descending aorta via the left femoral artery; however, angiography failed to identify the precise location of the tip of the guidewire. TEE detected the guide wire passing through the intimal tear into the false lumen, promoted the surgeon to manipulate and advance it to the true lumen, followed by placement of a stent graft. The patient was hemodynamically stable through the whole procedure. CONCLUSION: TEE was crucially important for detecting the precise location of the guidewire and preventing complications during TEVAR. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40981-022-00539-y. Springer Berlin Heidelberg 2022-07-16 /pmc/articles/PMC9287524/ /pubmed/35840820 http://dx.doi.org/10.1186/s40981-022-00539-y 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
Eissa, Mohamed
Mir-Ghassemi, Asadollah
Nagpal, Sudhir
Talab, Hesham F.
Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography
title Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography
title_full Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography
title_fullStr Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography
title_full_unstemmed Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography
title_short Detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of Type B aortic dissection by transesophageal echocardiography
title_sort detection of inadvertent passage of guide wire into the false lumen during thoracic endovascular aortic repair of type b aortic dissection by transesophageal echocardiography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287524/
https://www.ncbi.nlm.nih.gov/pubmed/35840820
http://dx.doi.org/10.1186/s40981-022-00539-y
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