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, Vol. 19, No. 6, 12.2011, p. 308-312.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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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 -