title: Direct Transaortic TEVAR: An Alternative Option for Selected Patients With Unsuitable Peripheral Access.
abstract: Thoracic endovascular aortic repair (TEVAR) is effectively executed in patients with arch or descending aortic diseases. Peripheral access sites are preferably used as standard gates for TEVAR. Feasibility of a peripheral approach might need an intraoperative evaluation and alternative routes should have been carefully assessed. In this article, we report 2 successful cases of direct transaortic TEVAR, where stent grafts were directly introduced into the native ascending aorta without external conduits. A satisfactory result and the absence of aortic-related complications were observed at 2 and 5 years' follow-up, respectively.
authors.affiliation: Cardiac Surgery, Niguarda Hospital, Milano, Italy. Electronic address: allucbot@tiscali.it.
authors.forename: Luca
authors.initials: L
authors.lastname: Botta
authors.affiliation: Cardiac Surgery, Niguarda Hospital, Milano, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Bruschi
authors.affiliation: Cardiac Surgery, Niguarda Hospital, Milano, Italy.
authors.forename: Pasquale
authors.initials: P
authors.lastname: Fratto
authors.affiliation: Cardiac Surgery, Niguarda Hospital, Milano, Italy.
authors.forename: Vito
authors.initials: V
authors.lastname: Margari
authors.affiliation: Interventional Radiology, Niguarda Hospital, Milano, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Solcia
authors.affiliation: Cardiology, University of Napoli Federico-II, Napoli, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Borgia
authors.affiliation: Interventional Radiology, Niguarda Hospital, Milano, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Rampoldi
authors.affiliation: Cardiac Surgery, Niguarda Hospital, Milano, Italy.
authors.forename: Claudio Francesco
authors.initials: CF
authors.lastname: Russo
mesh_terms: D000368:Aged; D017130:Angioplasty / Q000379:methods*; D001011:Aorta / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D000072226:Computed Tomography Angiography / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D018579:Patient Selection; D018570:Risk Assessment; D012494:Sampling Studies; D015607:Stents; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome