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, Vol. 29, No. 5, 10.2022, p. 711-716.

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@article{8f2c5086399d4749b72f563d372ab504,
title = "Modular Endo-Bentall Procedure Using a {"}Rendez-Vous Access{"}",
abstract = "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.{"}",
author = "Thomas Gandet and Dirk Westermann and Lenard Conradi and Giuseppe Panuccio and Franziska Heidemann and Fiona Rohlffs and Tilo K{\"o}lbel",
year = "2022",
month = oct,
doi = "10.1177/15266028211065959",
language = "English",
volume = "29",
pages = "711--716",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "5",

}

RIS

TY - JOUR

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 -