Modular Endo-Bentall Procedure Using a "Rendez-Vous Access"
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Modular Endo-Bentall Procedure Using a "Rendez-Vous Access". / Gandet, Thomas; Westermann, Dirk; Conradi, Lenard; Panuccio, Giuseppe; Heidemann, Franziska; Rohlffs, Fiona; Kölbel, Tilo.
in: J ENDOVASC THER, Jahrgang 29, Nr. 5, 10.2022, S. 711-716.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Modular Endo-Bentall Procedure Using a "Rendez-Vous Access"
AU - Gandet, Thomas
AU - Westermann, Dirk
AU - Conradi, Lenard
AU - Panuccio, Giuseppe
AU - Heidemann, Franziska
AU - Rohlffs, Fiona
AU - Kölbel, Tilo
PY - 2022/10
Y1 - 2022/10
N2 - PURPOSE: The concept of a single endovascular valve-carrying conduit device was designated endo-Bentall, but published experience is limited to a single case. This technical note describes an alternative modular endo-Bentall technique and a novel access technique to implant it.TECHNIQUE: A 82-year-old woman with chest pain referred for a 10 cm symptomatic aneurysm of the distal arch and descending aorta. An ascending aortic aneurysm of 5.5 cm prevented endovascular aortic arch repair due to lack of a proximal landing zone. The technique is a modular approach combining a physician-modified endograft (PMEG) with 3 large fenestrations for coronary artery perfusion and a transcatheter aortic valve implantation (TAVI). A "rendez-vous access" with a transapical and transfemoral through-and-through wire offered rapid sequential deployment in a modular fashion of both components. The PMEG was deployed first, landing 5 mm deep in the left ventricular outflow tract (LVOT) and the transcatheter aortic valve was implanted few millimeters below. The endo-Bentall procedure was combined with endovascular aortic arch repair.CONCLUSION: A modular endo-Bentall procedure combining a PMEG and TAVI is feasible and adaptable to emergent setting using the "rendez-vous access."
AB - PURPOSE: The concept of a single endovascular valve-carrying conduit device was designated endo-Bentall, but published experience is limited to a single case. This technical note describes an alternative modular endo-Bentall technique and a novel access technique to implant it.TECHNIQUE: A 82-year-old woman with chest pain referred for a 10 cm symptomatic aneurysm of the distal arch and descending aorta. An ascending aortic aneurysm of 5.5 cm prevented endovascular aortic arch repair due to lack of a proximal landing zone. The technique is a modular approach combining a physician-modified endograft (PMEG) with 3 large fenestrations for coronary artery perfusion and a transcatheter aortic valve implantation (TAVI). A "rendez-vous access" with a transapical and transfemoral through-and-through wire offered rapid sequential deployment in a modular fashion of both components. The PMEG was deployed first, landing 5 mm deep in the left ventricular outflow tract (LVOT) and the transcatheter aortic valve was implanted few millimeters below. The endo-Bentall procedure was combined with endovascular aortic arch repair.CONCLUSION: A modular endo-Bentall procedure combining a PMEG and TAVI is feasible and adaptable to emergent setting using the "rendez-vous access."
U2 - 10.1177/15266028211065959
DO - 10.1177/15266028211065959
M3 - SCORING: Journal article
C2 - 34964371
VL - 29
SP - 711
EP - 716
JO - J ENDOVASC THER
JF - J ENDOVASC THER
SN - 1526-6028
IS - 5
ER -