title: Total endovascular repair of an aortic arch aneurysm using an externalized transseptal guidewire technique.
abstract: Total endovascular treatment of complex ascending and arch disease remains extremely challenging with difficulties provided by the curvature of the arch, the variable anatomy of the great vessels, the proximity of the coronary ostia, potential damage to the aortic valve, and ventricle and instability during deployment. Given this background, reports of the total endovascular treatment of aortic arch are sparse. We describe one challenging case using an arch branched endograft that was safely advanced and precisely positioned into the ascending aorta using an externalized transseptal guide wire technique.
authors.affiliation: Department of Vascular Surgery, CHRU de Lille, Lille, France.
authors.forename: Pascal
authors.initials: P
authors.lastname: Rheaume
authors.forename: Paolo
authors.initials: P
authors.lastname: Perini
authors.forename: Mickael
authors.initials: M
authors.lastname: Daligault
authors.forename: Blandine
authors.initials: B
authors.lastname: Maurel
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sobocinski
authors.forename: Richard
authors.initials: R
authors.lastname: Azzaoui
authors.forename: Mohamed Amine
authors.initials: MA
authors.lastname: Laghzaoui
authors.forename: François
authors.initials: F
authors.lastname: Brigadeau
authors.forename: Stéphan
authors.initials: S
authors.lastname: Haulon
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome