Key result
Caudally directed in situ fenestrated endografting using upper extremity access allows rapid proximal aortic control and facilitates cannulation of angulated branch vessels for ruptured aneurysms.
Why the study?
To describe an alternative technique of caudally directed in situ fenestrated endografts using upper extremity access for emergent thoracoabdominal aortic aneurysm repair.
This technical report describes a novel caudally directed in situ fenestration approach for emergent thoracoabdominal aortic aneurysm repair, offering advantages in proximal control and branch vessel cannulation.
We previously described a transfemoral antegrade in situ laser fenestration technique (in situ fenestrated endovascular abdominal aortic aneurysm repair) for ruptured thoracoabdominal aortic aneurysms. In the present report, we have described an alternative technique of caudally directed in situ fenestrated endografts using upper extremity access for branch vessel incorporation. This technique involves partial deployment of the aortic stent graft in the thoracic aorta to achieve proximal control, followed by sequential branch incorporation using a laser probe through a steerable sheath, from the upper extremity access. The advantages of the technique include rapid proximal aortic control before branch incorporation without target vessel prestenting and separation of in situ fenestration from the target branch vessel origin, facilitating cannulation of angulated branch vessels.
No takes yet. Share an insight, caveat, or question.
Manzur et al. (2021) studied Ruptured thoracoabdominal aortic aneurysms. Caudally directed in situ fenestrated endografting using upper extremity access was evaluated. Caudally directed in situ fenestrated endografting using upper extremity access allows rapid proximal aortic control and facilitates cannulation of angulated branch vessels for ruptured aneurysms.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: