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An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch

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An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch. / Kölbel, Tilo; Rostock, Thomas; Larena-Avellaneda, Axel; Treede, Hendrik; Franzen, Olaf; Debus, Eike Sebastian.

In: J ENDOVASC THER, Vol. 17, No. 6, 12.2010, p. 744-749.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Kölbel, T, Rostock, T, Larena-Avellaneda, A, Treede, H, Franzen, O & Debus, ES 2010, 'An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch', J ENDOVASC THER, vol. 17, no. 6, pp. 744-749. https://doi.org/10.1583/10-3189.1

APA

Kölbel, T., Rostock, T., Larena-Avellaneda, A., Treede, H., Franzen, O., & Debus, E. S. (2010). An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch. J ENDOVASC THER, 17(6), 744-749. https://doi.org/10.1583/10-3189.1

Vancouver

Kölbel 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 Dec;17(6):744-749. https://doi.org/10.1583/10-3189.1

Bibtex

@article{20e2364d167b4ecfa248f4d57f057c42,
title = "An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch",
abstract = "PURPOSE: To describe a technique to facilitate passage and stable deployment of thoracic stent-grafts in patients with multiple tortuous aortic segments that may hamper endograft delivery or precise placement because of an unstable position in the aortic arch.TECHNIQUE: The technique of a transseptal through-and-through guidewire is demonstrated in a patient with a ruptured thoracic aneurysm with severe tortuosity of the aorta and a right-sided, severely angulated aortic arch. The transseptal through-and-through guidewire stabilization technique allowed successful passage and deployment of a thoracic stent-graft after debranching of the right common carotid and subclavian arteries. The ruptured thoracic aneurysm was excluded, while the proximal graft edge lined up with the origin of the aberrant left innominate artery.CONCLUSION: An externalized transseptal guidewire can facilitate endograft passage in tortuous aortic anatomies and optimize control in most severely angulated aortic arches. It may obviate the use of proximal bare stents because the proximal stent-graft is actively conformed to the inner curve of the aortic arch by the stabilizing wire. Transseptal access to the ascending aorta has the potential to become an important tool for endovascular treatment, especially for catheterization of branches and fenestrations in aortic arch stent-grafts.",
keywords = "Angiography, Digital Subtraction, Aortic Aneurysm, Thoracic/diagnostic imaging, Aortic Rupture/diagnostic imaging, Aortography/methods, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/instrumentation, Cardiac Catheterization/instrumentation, Endovascular Procedures/instrumentation, Equipment Design, Humans, Male, Middle Aged, Prosthesis Design, Radiography, Interventional, Stents, Tomography, X-Ray Computed, Treatment Outcome",
author = "Tilo K{\"o}lbel and Thomas Rostock and Axel Larena-Avellaneda and Hendrik Treede and Olaf Franzen and Debus, {Eike Sebastian}",
year = "2010",
month = dec,
doi = "10.1583/10-3189.1",
language = "English",
volume = "17",
pages = "744--749",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "6",

}

RIS

TY - JOUR

T1 - An externalized transseptal guidewire technique to facilitate guidewire stabilization and stent-graft passage in the aortic arch

AU - Kölbel, Tilo

AU - Rostock, Thomas

AU - Larena-Avellaneda, Axel

AU - Treede, Hendrik

AU - Franzen, Olaf

AU - Debus, Eike Sebastian

PY - 2010/12

Y1 - 2010/12

N2 - PURPOSE: To describe a technique to facilitate passage and stable deployment of thoracic stent-grafts in patients with multiple tortuous aortic segments that may hamper endograft delivery or precise placement because of an unstable position in the aortic arch.TECHNIQUE: The technique of a transseptal through-and-through guidewire is demonstrated in a patient with a ruptured thoracic aneurysm with severe tortuosity of the aorta and a right-sided, severely angulated aortic arch. The transseptal through-and-through guidewire stabilization technique allowed successful passage and deployment of a thoracic stent-graft after debranching of the right common carotid and subclavian arteries. The ruptured thoracic aneurysm was excluded, while the proximal graft edge lined up with the origin of the aberrant left innominate artery.CONCLUSION: An externalized transseptal guidewire can facilitate endograft passage in tortuous aortic anatomies and optimize control in most severely angulated aortic arches. It may obviate the use of proximal bare stents because the proximal stent-graft is actively conformed to the inner curve of the aortic arch by the stabilizing wire. Transseptal access to the ascending aorta has the potential to become an important tool for endovascular treatment, especially for catheterization of branches and fenestrations in aortic arch stent-grafts.

AB - PURPOSE: To describe a technique to facilitate passage and stable deployment of thoracic stent-grafts in patients with multiple tortuous aortic segments that may hamper endograft delivery or precise placement because of an unstable position in the aortic arch.TECHNIQUE: The technique of a transseptal through-and-through guidewire is demonstrated in a patient with a ruptured thoracic aneurysm with severe tortuosity of the aorta and a right-sided, severely angulated aortic arch. The transseptal through-and-through guidewire stabilization technique allowed successful passage and deployment of a thoracic stent-graft after debranching of the right common carotid and subclavian arteries. The ruptured thoracic aneurysm was excluded, while the proximal graft edge lined up with the origin of the aberrant left innominate artery.CONCLUSION: An externalized transseptal guidewire can facilitate endograft passage in tortuous aortic anatomies and optimize control in most severely angulated aortic arches. It may obviate the use of proximal bare stents because the proximal stent-graft is actively conformed to the inner curve of the aortic arch by the stabilizing wire. Transseptal access to the ascending aorta has the potential to become an important tool for endovascular treatment, especially for catheterization of branches and fenestrations in aortic arch stent-grafts.

KW - Angiography, Digital Subtraction

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Aortic Rupture/diagnostic imaging

KW - Aortography/methods

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/instrumentation

KW - Cardiac Catheterization/instrumentation

KW - Endovascular Procedures/instrumentation

KW - Equipment Design

KW - Humans

KW - Male

KW - Middle Aged

KW - Prosthesis Design

KW - Radiography, Interventional

KW - Stents

KW - Tomography, X-Ray Computed

KW - Treatment Outcome

U2 - 10.1583/10-3189.1

DO - 10.1583/10-3189.1

M3 - SCORING: Journal article

C2 - 21142483

VL - 17

SP - 744

EP - 749

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 6

ER -