Total Endovascular Repair of an Aortic Arch Aneurysm Using an Externalized Transseptal Guidewire Technique
Total endovascular treatment of complex ascending and arch disease remains extremely challenging with difficulties provided by the curvature of the arch, the variable anatomy of the great vessels, the proximity of the coronary ostia, potential damage to the aortic valve, and ventricle and instabilit...
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| Veröffentlicht in: | The Annals of thoracic surgery 2012-05, Vol.93 (5), p.1710-1713 |
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| container_title | The Annals of thoracic surgery |
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| creator | Rheaume, Pascal, MD Perini, Paolo, MD Daligault, Mickael, MD Maurel, Blandine, MD Sobocinski, Jonathan Azzaoui, Richard, MD Laghzaoui, Mohamed Amine, MD Brigadeau, François, MD Haulon, Stéphan, MD, PhD |
| description | Total endovascular treatment of complex ascending and arch disease remains extremely challenging with difficulties provided by the curvature of the arch, the variable anatomy of the great vessels, the proximity of the coronary ostia, potential damage to the aortic valve, and ventricle and instability during deployment. Given this background, reports of the total endovascular treatment of aortic arch are sparse. We describe one challenging case using an arch branched endograft that was safely advanced and precisely positioned into the ascending aorta using an externalized transseptal guide wire technique. |
| doi_str_mv | 10.1016/j.athoracsur.2011.10.030 |
| format | Article |
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Given this background, reports of the total endovascular treatment of aortic arch are sparse. We describe one challenging case using an arch branched endograft that was safely advanced and precisely positioned into the ascending aorta using an externalized transseptal guide wire technique.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2011.10.030</identifier><identifier>PMID: 22541205</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Anesthesia. Intensive care medicine. Transfusions. 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Vascular system ; Cardiothoracic Surgery ; Diseases of the aorta ; Endovascular Procedures - methods ; Follow-Up Studies ; Humans ; Imaging, Three-Dimensional ; Male ; Medical sciences ; Minimally Invasive Surgical Procedures - methods ; Pneumology ; Preoperative Care - methods ; Prosthesis Design ; Surgery ; Tomography, X-Ray Computed - methods ; Treatment Outcome</subject><ispartof>The Annals of thoracic surgery, 2012-05, Vol.93 (5), p.1710-1713</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2012 The Society of Thoracic Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. 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Vascular system</subject><subject>Cardiothoracic Surgery</subject><subject>Diseases of the aorta</subject><subject>Endovascular Procedures - methods</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Pneumology</subject><subject>Preoperative Care - methods</subject><subject>Prosthesis Design</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Treatment Outcome</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk2P0zAQQCMEYrsLfwH5gsQlxR-x01yQyqosSCshQfdsOeMJdUjtYicL5devoxZW4sTJsufNjP08RUEYXTLK1Nt-acZdiAbSFJecMpaPl1TQJ8WCSclLxWXztFhQSkVZNbW8KC5T6vOW5_Dz4oJzWTFO5aLot2E0A9l4G-5NgmkwkXzBg3GRhI4YT9Yhjg7IOsKOrD1O8Zj25C45_22Obn6NGL0Z3G-0ZBuNTwkPc8GbyVn86SKSLcLOux8TviiedWZI-PK8XhV3Hzbb64_l7eebT9fr2xIkbcZSVa0F5O2K1aZtgSMKpRQHhp1RkgkJnbWWY1MzibaqQbCWiaYDY00jGyGuijenuocYcts06r1LgMNgPIYp6WyQVpmkKqOrEwoxpBSx04fo9iYeMzRzSvf60bSeTc-RbDqnvjp3mdo92r-Jf9Rm4PUZyF7N0GU54NIjJ1dKCFpl7v2Jw-zk3mHUCRx6QJvtwahtcP9zm3f_FIHBeZf7fscjpj5M8y_lt-vENdVf58mYB4MxyiVravEANC64Lg</recordid><startdate>20120501</startdate><enddate>20120501</enddate><creator>Rheaume, Pascal, MD</creator><creator>Perini, Paolo, MD</creator><creator>Daligault, Mickael, MD</creator><creator>Maurel, Blandine, MD</creator><creator>Sobocinski, Jonathan</creator><creator>Azzaoui, Richard, MD</creator><creator>Laghzaoui, Mohamed Amine, MD</creator><creator>Brigadeau, François, MD</creator><creator>Haulon, Stéphan, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120501</creationdate><title>Total Endovascular Repair of an Aortic Arch Aneurysm Using an Externalized Transseptal Guidewire Technique</title><author>Rheaume, Pascal, MD ; Perini, Paolo, MD ; Daligault, Mickael, MD ; Maurel, Blandine, MD ; Sobocinski, Jonathan ; Azzaoui, Richard, MD ; Laghzaoui, Mohamed Amine, MD ; Brigadeau, François, MD ; Haulon, Stéphan, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-64bdce2b817abbc2ee36662c1efa65135cfddd2e9715ed47c31b139fcada95933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Anesthesia. 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| subjects | Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Angiography - methods Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - surgery Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - methods Cardiology. Vascular system Cardiothoracic Surgery Diseases of the aorta Endovascular Procedures - methods Follow-Up Studies Humans Imaging, Three-Dimensional Male Medical sciences Minimally Invasive Surgical Procedures - methods Pneumology Preoperative Care - methods Prosthesis Design Surgery Tomography, X-Ray Computed - methods Treatment Outcome |
| title | Total Endovascular Repair of an Aortic Arch Aneurysm Using an Externalized Transseptal Guidewire Technique |
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