title: Endovascular repair of distal arch aneurysm with double-chimney technique.
abstract: We report 2 cases of distal arch aneurysm treated by thoracic endovascular aneurysm repair (TEVAR) with the "double-chimney technique." This technique permitted the implantation of a thoracic stent graft in the ascending aorta over the arch branches while preserving perfusion of innominate and left common carotid arteries without debranching bypasses. The procedure is a feasible and less invasive treatment for distal arch aneurysm with a short proximal neck (<2 cm to the origin of the innominate artery) in patients at high risk when undergoing sternotomy and in emergent cases.
authors.affiliation: Department of Surgery, Yamaguchi Grand Medical Center, Hofu, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Samura
authors.forename: Nobuya
authors.initials: N
authors.lastname: Zempo
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Ikeda
authors.forename: Masaaki
authors.initials: M
authors.lastname: Hidaka
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Kaneda
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Suzuki
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Tsuboi
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Hamano
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D015607:Stents