A ‘through-and-through bowing technique’ for antegrade thoracic endovascular aneurysm repair with total arch debranching: a technical note and the initial results

Abstract

The present paper demonstrated the precise positioning of a GORE TAG deployment using a 'through-and-through bowing technique' with total arch debranching.

Midterm Outcomes of Zone 0 Antegrade Endograft Implantation During Type I Hybrid Aortic Arch Repair

“…In this study, all endografts were delivered anterogradely during type I hybrid aortic arch repair. 13 The advantage of this procedure is that use of the access route is not necessary. In particular, the previous generation of stent grafts used at the time of the study period had a large profile, and frail patients at high risk from TAR (especially Asian patients or women) often have poor access.…”

“…The details of the procedure have been described previously. 13 Briefly, all procedures were performed under general anaesthesia with monitoring of both the right and left radial arterial pressure and cerebral oxygen saturation. After median sternotomy, the site of side biting clamp placement on the ascending aorta was carefully determined based on pre-operative computed tomography (CT) angiography (CTA) and intra-operative epi-aortic ultrasonography.…”

“…Initial results of zone 0 TEVAR using the "through and through bowing technique" have been reported previously. 13 The aim of this study was to assess the midterm outcomes of antegrade endograft implantation using this technique during type I hybrid aortic arch repair.…”

Antegrade thoracic endovascular aortic repair using an ascending aortofemoral through-and-through wire technique for a severely tortuous aorta associated with rickets

“…With respect to the precise deployment of the stent graft to its intended position, there are several adjuncts including right ventricular rapid pacing, administration of adenosine or vasodilators, balloon inflation in the inferior vena cava, and through-and-through bowing technique [8]. In addition, it was difficult to determine the accurate proximal sealing zone when performing the reversed deployment of the stent graft.…”