Key result
A total percutaneous femoral approach using a steerable sheath for branched custom-made device endovascular repair successfully treated a thoracoabdominal aneurysm without upper extremity access complications.
Why the study?
Thoracoabdominal aortic aneurysm is a challenging condition traditionally managed with open repair, whereas endovascular repair offers a minimally invasive alternative with improved mortality and morbidity profiles.
Case Report (n=1)
No
A total percutaneous femoral approach for branched custom-made device endovascular repair of TAAA is feasible and may avoid complications associated with upper extremity access.
Thoracoabdominal aortic aneurysm (TAAA) is a challenging vascular condition to manage. Traditionally, open surgical repair has been the standard of treatment. Endovascular repair for TAAA has gained much popularity because it is a minimally invasive approach that results in better mortality and morbidity profiles. We report a case of TAAA successfully treated with a custom-made multi-branch device through a total femoral approach with the use of a steerable sheath for branch cannulation and deployment of bridging stents to targeted visceral vessels. This approach avoided complications related to upper extremity access, such as stroke, and allowed shorter operative time with better workstation ergonomics.
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Leong et al. (2020) conducted a case report in Thoracoabdominal aortic aneurysm (n=1). Total percutaneous femoral approach for branched custom-made device endovascular repair was evaluated on Procedural success and absence of endoleak. A total percutaneous femoral approach using a steerable sheath for branched custom-made device endovascular repair successfully treated a thoracoabdominal aneurysm without upper extremity access complications.
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