title: Hemiaortic arch debranching using native supra-aortic vessels.
abstract: Endovascular treatment of aortic arch aneurysms with a proximal landing zone in zone I requires carotid-carotid bypass. We report two patients with aortic arch aneurysms in whom we used a new hybrid approach by transposing the left common carotid artery and left subclavian artery to the right common carotid artery. This innovative technique uses a native vessel instead of prosthetic material and a shunt to maintain cerebral perfusion, thereby avoiding bilateral carotid clamping.
authors: Service de Chirurgie Vasculaire, Hôpital Henri Mondor, University of Paris, XII, Créteil, France.
authors: Joseph
authors: J
authors: Touma
authors: Rabih
authors: R
authors: Houbballah
authors: Max
authors: M
authors: Wohlauer
authors: Jean-Pierre
authors: JP
authors: Becquemin
mesh_terms: D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D021721:Balloon Occlusion; D019917:Blood Vessel Prosthesis Implantation; D017536:Carotid Artery, Common / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008875:Middle Aged; D013348:Subclavian Artery / Q000503:physiopathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome