Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery
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Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery. / Tsilimparis, Nikolaos; Debus, E Sebastian; Wipper, Sabine; Carpenter, Sebastian; Lohrenz, Christina; Kölbel, Tilo.
In: J VASC SURG, Vol. 63, No. 3, 03.2016, p. 815-818.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery
AU - Tsilimparis, Nikolaos
AU - Debus, E Sebastian
AU - Wipper, Sabine
AU - Carpenter, Sebastian
AU - Lohrenz, Christina
AU - Kölbel, Tilo
N1 - Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.
PY - 2016/3
Y1 - 2016/3
N2 - Proximal displacement of thoracic aortic endografts is a catastrophic adverse event, which rarely occurs but is associated with extremely high morbidity and mortality. We describe herein the case of a patient with accidental proximal displacement of a thoracic endograft with occlusion of all supra-aortic branches, successfully rescued by the combination of three advanced endovascular techniques: (1) aggressive pull-back maneuver with a compliant balloon; (2) establishment of an arterio-arterial temporary shunt to the occluded carotid artery over sheaths; and (3) in-situ fenestration of the occluded carotid artery.
AB - Proximal displacement of thoracic aortic endografts is a catastrophic adverse event, which rarely occurs but is associated with extremely high morbidity and mortality. We describe herein the case of a patient with accidental proximal displacement of a thoracic endograft with occlusion of all supra-aortic branches, successfully rescued by the combination of three advanced endovascular techniques: (1) aggressive pull-back maneuver with a compliant balloon; (2) establishment of an arterio-arterial temporary shunt to the occluded carotid artery over sheaths; and (3) in-situ fenestration of the occluded carotid artery.
KW - Aneurysm, Dissecting/diagnosis
KW - Angioplasty, Balloon
KW - Aortic Aneurysm, Thoracic/diagnosis
KW - Aortography/methods
KW - Blood Vessel Prosthesis/adverse effects
KW - Blood Vessel Prosthesis Implantation/adverse effects
KW - Carotid Artery, Common/diagnostic imaging
KW - Carotid Stenosis/diagnosis
KW - Endovascular Procedures/adverse effects
KW - Foreign-Body Migration/diagnosis
KW - Humans
KW - Male
KW - Middle Aged
KW - Regional Blood Flow
KW - Reoperation
KW - Stents/adverse effects
KW - Tomography, X-Ray Computed
KW - Treatment Outcome
KW - Vascular Patency
U2 - 10.1016/j.jvs.2014.05.043
DO - 10.1016/j.jvs.2014.05.043
M3 - SCORING: Journal article
C2 - 25080881
VL - 63
SP - 815
EP - 818
JO - J VASC SURG
JF - J VASC SURG
SN - 0741-5214
IS - 3
ER -