Transapical access for thoracic endograft delivery

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Transapical access for thoracic endograft delivery. / Kölbel, Tilo; Treede, Hendrik; Carpenter, Sebastian William; Diener, Holger; Larena-Avellaneda, Axel; Debus, Eike Sebastian.

in: VASCULAR, Jahrgang 19, Nr. 6, 12.2011, S. 308-312.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{bc7a2dd89e7044a8ba618bc3d1281ee2,
title = "Transapical access for thoracic endograft delivery",
abstract = "The purpose of this paper is to describe the technique of transapical deployment of a thoracic endograft and to discuss the specifics of this access. The technique of endograft deployment through a transapical access is demonstrated in a patient with a symptomatic 14-cm aortic arch aneurysm. The 73-year-old patient, with concomitant chronic obstructive airway disease and cardiovascular disease, had been denied open surgery. Femoral artery access was deemed contraindicated because of a more distal concomitant type III thoracoabdominal aneurysm, borderline renal failure and heavily calcified iliac arteries. Bilateral iliac-subclavian debranching and thoracic endografting via a combined transapical and left subclavian access successfully excluded the thoracic aortic aneurysm. The patient died within 24 hours postoperatively due to a massive myocardial infarction. In conclusion, transapical access for thoracic endograft delivery is feasible. Combined with complex debranching procedures in a challenging aneurysmal anatomy, it carries a high risk for periprocedural complications.",
keywords = "Aged, Aorta, Thoracic/diagnostic imaging, Aortic Aneurysm, Abdominal/diagnostic imaging, Aortic Aneurysm, Thoracic/diagnostic imaging, Aortography, Blood Vessel Prosthesis Implantation/methods, Calcinosis/diagnostic imaging, Endovascular Procedures/methods, Humans, Male, Subclavian Artery, Tomography, X-Ray Computed",
author = "Tilo K{\"o}lbel and Hendrik Treede and Carpenter, {Sebastian William} and Holger Diener and Axel Larena-Avellaneda and Debus, {Eike Sebastian}",
year = "2011",
month = dec,
doi = "10.1258/vasc.2011.tn0017",
language = "English",
volume = "19",
pages = "308--312",
journal = "VASCULAR",
issn = "1708-5381",
publisher = "SAGE Publications",
number = "6",

}

RIS

TY - JOUR

T1 - Transapical access for thoracic endograft delivery

AU - Kölbel, Tilo

AU - Treede, Hendrik

AU - Carpenter, Sebastian William

AU - Diener, Holger

AU - Larena-Avellaneda, Axel

AU - Debus, Eike Sebastian

PY - 2011/12

Y1 - 2011/12

N2 - The purpose of this paper is to describe the technique of transapical deployment of a thoracic endograft and to discuss the specifics of this access. The technique of endograft deployment through a transapical access is demonstrated in a patient with a symptomatic 14-cm aortic arch aneurysm. The 73-year-old patient, with concomitant chronic obstructive airway disease and cardiovascular disease, had been denied open surgery. Femoral artery access was deemed contraindicated because of a more distal concomitant type III thoracoabdominal aneurysm, borderline renal failure and heavily calcified iliac arteries. Bilateral iliac-subclavian debranching and thoracic endografting via a combined transapical and left subclavian access successfully excluded the thoracic aortic aneurysm. The patient died within 24 hours postoperatively due to a massive myocardial infarction. In conclusion, transapical access for thoracic endograft delivery is feasible. Combined with complex debranching procedures in a challenging aneurysmal anatomy, it carries a high risk for periprocedural complications.

AB - The purpose of this paper is to describe the technique of transapical deployment of a thoracic endograft and to discuss the specifics of this access. The technique of endograft deployment through a transapical access is demonstrated in a patient with a symptomatic 14-cm aortic arch aneurysm. The 73-year-old patient, with concomitant chronic obstructive airway disease and cardiovascular disease, had been denied open surgery. Femoral artery access was deemed contraindicated because of a more distal concomitant type III thoracoabdominal aneurysm, borderline renal failure and heavily calcified iliac arteries. Bilateral iliac-subclavian debranching and thoracic endografting via a combined transapical and left subclavian access successfully excluded the thoracic aortic aneurysm. The patient died within 24 hours postoperatively due to a massive myocardial infarction. In conclusion, transapical access for thoracic endograft delivery is feasible. Combined with complex debranching procedures in a challenging aneurysmal anatomy, it carries a high risk for periprocedural complications.

KW - Aged

KW - Aorta, Thoracic/diagnostic imaging

KW - Aortic Aneurysm, Abdominal/diagnostic imaging

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Aortography

KW - Blood Vessel Prosthesis Implantation/methods

KW - Calcinosis/diagnostic imaging

KW - Endovascular Procedures/methods

KW - Humans

KW - Male

KW - Subclavian Artery

KW - Tomography, X-Ray Computed

U2 - 10.1258/vasc.2011.tn0017

DO - 10.1258/vasc.2011.tn0017

M3 - SCORING: Journal article

C2 - 22075629

VL - 19

SP - 308

EP - 312

JO - VASCULAR

JF - VASCULAR

SN - 1708-5381

IS - 6

ER -