title: "Squid-capture" modified in situ stent-graft fenestration technique for aortic arch aneurysm repair.
abstract: An 83-year-old female was found to have an fusiform aneurysm in the aortic arch. She was deemed to be a high surgical risk; therefore, endovascular stent-graft placement followed by revascularization of the brachiocephalic trunk using in situ stent-graft fenestration was considered. However, the safe application of fenestration was deemed difficult due to the tortuosity of the brachiocephalic artery. The patient was successfully treated with the aid of the "squid-capture" technique, which consists of deployment of the stent-graft in a snare wire loop that was advanced from the brachiocephalic artery and fenestration of the stent-graft with the support of the loop. A follow-up exam revealed complete sealing of the aneurysm without any complications. The squid-capture technique allows for the safe and secure puncture of the graft.
authors.affiliation: Department of Radiology, Oita University Faculty of Medicine, Idaigaoka Hasama-machi, Yufu-shi, Oita, 879-5593, Japan, hongou@oita-u.ac.jp.
authors.forename: Norio
authors.initials: N
authors.lastname: Hongo
authors.forename: Shinji
authors.initials: S
authors.lastname: Miyamoto
authors.forename: Rieko
authors.initials: R
authors.lastname: Shuto
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Wada
authors.forename: Noritaka
authors.initials: N
authors.lastname: Kamei
authors.forename: Aiko
authors.initials: A
authors.lastname: Sato
authors.forename: Shunro
authors.initials: S
authors.lastname: Matsumoto
authors.forename: Hiro
authors.initials: H
authors.lastname: Kiyosue
authors.forename: Hiromu
authors.initials: H
authors.lastname: Mori
mesh_terms: D000369:Aged, 80 and over; 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*; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery*; D003287:Contrast Media; D005260:Female; D006801:Humans; D015607:Stents; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media