title: [Thoracic Endovascular Aortic Repair (TEVAR) Combined with Embolization Technique for Saccular Aortic Arch Aneurysm].
abstract: Many of saccular aortic arch aneurysms exist near left subclabian artery(LSA). The thoracic endovascular aneurysm repair( TEVAR) landing on zone 2 is a less invasive and suitable procedure for this type of aneurysm. However, there are several cases with the aneurysm located close to LSA necessitate landing TEVAR on zone 1 or zone 0, otherwise the aneurysm could not be sealed completely. And this procedure seems to increase the invasiveness. In order to complete the sealing of the aneurysm and also keep the less invasiveness, we performed TEVAR using an axillo-axillary bypass or simple occlusion of LSA followed by an embolization using metal coil and NBCA through the catheter which detained in the saccular aneurysm beforehand. We report our experience of seven cases have been successfully treated by this procedure with good results.
authors.affiliation: Department of Cardiovascular Surgery, Iwaki City General Iwaki Kyoritsu Hospital, Iwaki, Japan.
authors.forename: Shunichi
authors.initials: S
authors.lastname: Kondo
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Katada
authors.forename: Eitoshi
authors.initials: E
authors.lastname: Tsuboi
authors.forename: Ken
authors.initials: K
authors.lastname: Nakamura
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Takano
authors.forename: Kyu
authors.initials: K
authors.lastname: Rokkaku
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Irie
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yokoyama
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000379:methods*; D004659:Enbucrilate / Q000008:administration & dosage; D057510:Endovascular Procedures / Q000379:methods*; D004998:Ethiodized Oil / Q000008:administration & dosage; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D004998:Ethiodized Oil; D004659:Enbucrilate