title: [Prevention of cerebral infarction in thoracic endovascular aneurysm repair(TEVAR) of distal aortic arch aneurysms; left subclavian artery balloon technique].
abstract: Thoracic endovascular aneurysm repair(TEVAR) has been applied more and more frequently to an atherosclerotic distal aortic arch aneurysm. Even if the procedure is successful, extensive cerebral infarction might occur, especially in the left vertebral artery area. We therefore devised a new method to prevent embolic events using a thrombectomy catheter with an end hole, which was placed at the origin of the letf subclavian artery via the radial artery. This simple left subclavian artery balloon technique not only prevents cerebral embolism in the left vertebral artery system, but also provides a position marker under X-ray, and enables tight compaction of the embolization coils.
authors: Department of Cardiovascular Surgery, Iwaki City General Iwaki Kyoritsu Hospital, Iwaki, Japan.
authors: Shunichi
authors: S
authors: Kondo
authors: Jun
authors: J
authors: Hirota
authors: Tsuyoshi
authors: T
authors: Yamabe
authors: Tomohiro
authors: T
authors: Takano
authors: Ken
authors: K
authors: Nakamura
authors: Taichi
authors: T
authors: Kondo
authors: Kyu
authors: K
authors: Rokkaku
authors: Yoshiaki
authors: Y
authors: Katada
authors: Yoshihito
authors: Y
authors: Irie
authors: Hitoshi
authors: H
authors: Yokoyama
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000800:Angioplasty, Balloon; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002544:Cerebral Infarction / Q000517:prevention & control*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery