title: Hybrid Antegrade Thoracic Aortic Stenting via a Temporary Ascending Aortic Graft Conduit for a Patient with Poor Peripheral Vascular Access.
abstract: In patients with poor peripheral vascular access, thoracic aortic stenting procedures can be technically very challenging. Antegrade aortic stent deployments during concomitant open ascending and arch procedures are well described, but the issue of long endovascular catheters and wires may make such an approach difficult and awkward. We describe a novel hybrid method involving a temporary graft conduit to the ascending aorta which is brought caudal toward the foot of the table to facilitate antegrade deployment of the thoracic stent graft.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of The People's Republic of China;
authors.forename: Randolph H L
authors.initials: RH
authors.lastname: Wong
authors.affiliation: Department of Diagnostic and Intervention Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of The People's Republic of China.
authors.forename: Simon C H
authors.initials: SC
authors.lastname: Yu
authors.affiliation: Department of Diagnostic and Intervention Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of The People's Republic of China.
authors.forename: C M
authors.initials: CM
authors.lastname: Chu
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of The People's Republic of China;
authors.forename: Innes Y P
authors.initials: IY
authors.lastname: Wan
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of The People's Republic of China;
authors.forename: Rainbow W H
authors.initials: RW
authors.lastname: Lau
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of The People's Republic of China;
authors.forename: Calvin S H
authors.initials: CS
authors.lastname: Ng
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong Special Administrative Region of The People's Republic of China;
authors.forename: Malcolm J
authors.initials: MJ
authors.lastname: Underwood
keywords: Aortic operation; Endovascular procedures; Hybrid theater