Endovascular total aortic arch replacement by in situ stent graft fenestration technique.
Open surgical total aortic arch replacement is a demanding procedure which carries a substantial morbidity and mortality. A less invasive endovascular option is endovascular stent grafting using in situ fenestrations. After thoracic stent graft deployment in the arch, fenestrations are made for the major arch vessels. During this procedure, antegrade cerebral perfusion is maintained using a temporary bypass from the left femoral artery to both carotids perfusing both the anterior and posterior cerebral circulation. The endovascular technique and devices used are herein described.
Sonesson
Björn
B
Vascular Center Malmö-Lund, Malmö University Hospital, Malmö, Sweden. b.sonesson@gmail.com
Resch
Tim
T
Allers
Mats
M
Malina
Martin
M
D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D017536:Carotid Artery, Common / Q000601:surgery; D002560:Cerebrovascular Circulation; D005112:Extracorporeal Circulation; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D033221:Jehovah's Witnesses; D008297:Male; D008875:Middle Aged; D010477:Perfusion / Q000379:methods; D015641:Radiography, Interventional; D012068:Religion and Medicine; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome