The carotid artery as alternative access for endoluminal aortic aneurysm repair.
Endograft treatment of aortic aneurysms has become a common procedure in many centers. However, not all patients are candidates for this new technology, because of their vascular anatomy and device limitations. One common problem is iliofemoral occlusive disease, which when present, even in a moderate degree, may preclude introduction of the large-diameter delivery devices currently in use. We present a case of a high-risk male patient with a thoracic aortic aneurysm and severe occlusive disease of the iliac arteries. An alternative approach for device delivery through the carotid artery was used and the procedure was successful with no neurologic complications. We recommend this technique for highly selected patients with an aneurysm who can undergo tube endograft repair without feasible access through the iliac or femoral arteries.
Department of Surgery, New England Medical Center/Tufts University School of Medicine, Boston, MA 02111, USA. jestes@lifespan.org
J M
JM
Estes
N
N
Halin
M
M
Kwoun
J
J
Burch
M
M
England
W C
WC
Mackey
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001161:Arteriosclerosis / Q000000981:diagnostic imaging; D019917:Blood Vessel Prosthesis Implantation; D002114:Calcinosis / Q000000981:diagnostic imaging; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging; D008875:Middle Aged; D011859:Radiography; D015607:Stents