DOI QR코드

DOI QR Code

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

  • Eun, Na Lae (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Lee, Dahye (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Song, Suk-Won (Department of Cardiothoracic Surgery, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Joo, Seung-Moon (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Kolbel, Tilo (Department of Vascular Medicine, University Heart Center Hamburg, University Hospital Eppendorf) ;
  • Lee, Kwang-Hun (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System)
  • Received : 2014.09.26
  • Accepted : 2015.03.19
  • Published : 2015.08.01

Abstract

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.

Keywords

References

  1. Scali ST, Goodney PP, Walsh DB, Travis LL, Nolan BW, Goodman DC, et al. National trends and regional variation of open and endovascular repair of thoracic and thoracoabdominal aneurysms in contemporary practice. J Vasc Surg 2011;53:1499-1505 https://doi.org/10.1016/j.jvs.2011.02.014
  2. Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 1994;331:1729-1734 https://doi.org/10.1056/NEJM199412293312601
  3. Xenos ES, Minion DJ, Davenport DL, Hamdallah O, Abedi NN, Sorial EE, et al. Endovascular versus open repair for descending thoracic aortic rupture: institutional experience and meta-analysis. Eur J Cardiothorac Surg 2009;35:282-286 https://doi.org/10.1016/j.ejcts.2008.10.042
  4. Demetriades D, Velmahos GC, Scalea TM, Jurkovich GJ, Karmy-Jones R, Teixeira PG, et al. Operative repair or endovascular stent graft in blunt traumatic thoracic aortic injuries: results of an American Association for the Surgery of Trauma Multicenter Study. J Trauma 2008;64:561-570; discussion 570-571 https://doi.org/10.1097/TA.0b013e3181641bb3
  5. Desai ND, Burtch K, Moser W, Moeller P, Szeto WY, Pochettino A, et al. Long-term comparison of thoracic endovascular aortic repair (TEVAR) to open surgery for the treatment of thoracic aortic aneurysms. J Thorac Cardiovasc Surg 2012;144:604-609; discussion 609-611 https://doi.org/10.1016/j.jtcvs.2012.05.049
  6. Jonker FH, Trimarchi S, Verhagen HJ, Moll FL, Sumpio BE, Muhs BE. Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm. J Vasc Surg 2010;51:1026-1032, 1032.e1-1032.e2 https://doi.org/10.1016/j.jvs.2009.10.103
  7. Dorros G, Dorros AM, Planton S, O'Hair D, Zayed M. Transseptal guidewire stabilization facilitates stent-graft deployment for persistent proximal ascending aortic dissection. J Endovasc Ther 2000;7:506-512 https://doi.org/10.1177/152660280000700612
  8. Kolbel T, Rostock T, Larena-Avellaneda A, Treede H, Franzen O, Debus ES. An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch. J Endovasc Ther 2010;17:744-749 https://doi.org/10.1583/10-3189.1
  9. MacDonald S, Cheung A, Sidhu R, Rheaume P, Grenon SM, Clement J. Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart. J Vasc Surg 2009;49:759-762 https://doi.org/10.1016/j.jvs.2008.09.045
  10. Joseph G, Stephen E, Chacko S, Sen I, Joseph E. Transseptal ascending aortic access and snare-assisted pull down of the delivery system to facilitate stent-graft passage in the aortic arch during TEVAR. J Endovasc Ther 2013;20:223-230 https://doi.org/10.1583/1545-1550-20.2.223
  11. Kolbel T, Reiter B, Schirmer J, Wipper S, Detter C, Debus ES, et al. Customized transapical thoracic endovascular repair for acute type A dissection. Ann Thorac Surg 2013;95:694-696 https://doi.org/10.1016/j.athoracsur.2012.06.055

Cited by

  1. Snare-Assisted Delivery for Ascending Endovascular Repair of Acute Type A Dissection vol.112, pp.1, 2021, https://doi.org/10.1016/j.athoracsur.2020.12.027