title: Systematic cervical approach for endovascular treatment of thoracic aortic diseases with debranching.
abstract: Endovascular treatment of thoracic aorta (TEVAR) often requires supra-aortic arterial trunks debranching to provide an acceptable proximal landing zone. To facilitate TEVAR procedures involving landing zones 1 to 3, we propose a systematic 4-step strategy with 1) a primary surgical cervical exposure of the supra-aortic trunks; 2) insertion through this access of a 5 Fr introducer in the first non-covered supra-aortic trunk to delineate precisely the landing zone; 3) followed by deployment of the thoracic endograft through one femoral access; 4) immediate completion of the surgical debranching, i.e. transposition or bypass.
authors.affiliation: Department of Vascular Surgery, University Hospital of Strasbourg, France - nabil.chakfe@chru-strasbourg.fr.
authors.forename: Yannick
authors.initials: Y
authors.lastname: Georg
authors.forename: Adeline
authors.initials: A
authors.lastname: Schwein
authors.forename: Anne
authors.initials: A
authors.lastname: Lejay
authors.forename: Benoit
authors.initials: B
authors.lastname: Lucereau
authors.forename: Fabien
authors.initials: F
authors.lastname: Thaveau
authors.forename: Nabil
authors.initials: N
authors.lastname: Chakfe
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome; D055815:Young Adult