First-in-man proof of feasibility: PCI, TAVR, and TEVAR of aortic arch with a hybrid approach through a trans-caval (cavo-aortic) access in the same procedure

Gopalamurugan, A.B.; Anantharaman, R; Abubacker, Mohamed; Varshaa, G Manju; Vaijyanath, Prashant

doi:10.1093/eurheartj/ehaa529

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“…Compared to transcaval TAVR and endoleak embolization, there is limited literature on transcaval access for TEVAR. There have only been three case reports on transcaval TEVAR, namely by Uflacker et al, 3 Fanari et al, 12 and Gopalamurugan et al 13 Fanari et al 12 reported a case relatively similar to ours but without a self-resolving type IA endoleak. However, the authors only provided outcome information for 1 day post-surgery.…”

Section: Discussionsupporting

confidence: 52%

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Long Term Monitoring of Thoracic Endovascular Aortic Aneurysm Repair Using Transcaval Aortic Access

Farivar

2022

Vasc Endovascular Surg

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Thoracic endovascular aortic repair (TEVAR) has reduced the morbidity and mortality associated with the treatment of thoracic aortic pathologies. However, TEVAR’s use is often predicated on sufficiently large femoral access for the delivery of the endograft device. Transcaval access, or the delivery of endovascular device via the vena cava before crossing into the aorta, has been used successfully for the deployment of transcatheter aortic valves. Our institution previously reported on a case of TEVAR using transcaval access. We now report on the long-term follow-up outcome of this case. At 6 years post-surgery, computed tomography angiography (CTA) indicates stable aortic repair without any concerning findings associated with the site of transcaval access into the aorta. The patient is clinically without signs of lower extremity vascular or cardiopulmonary compromise. Overall, transcaval access for TEVAR is a promising alternative to traditional femoral artery access in highly-select patients with the appropriate anatomical and pathological indications.

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Section: Discussionsupporting

confidence: 52%

“…However, the authors only provided outcome information for 1 day post-surgery. Gopalamurugan et al 13 performed a complicated case in which they established a transcaval access route to execute a percutaneous coronary intervention, a TAVR, and a TEVAR. The intervention was successful, but no follow-up information was provided.…”

Section: Discussionmentioning

confidence: 99%

Long Term Monitoring of Thoracic Endovascular Aortic Aneurysm Repair Using Transcaval Aortic Access

Farivar

2022

Vasc Endovascular Surg

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show abstract

First-in-man proof of feasibility: PCI, TAVR, and TEVAR of aortic arch with a hybrid approach through a trans-caval (cavo-aortic) access in the same procedure

Cited by 1 publication

References 0 publications

Long Term Monitoring of Thoracic Endovascular Aortic Aneurysm Repair Using Transcaval Aortic Access

Long Term Monitoring of Thoracic Endovascular Aortic Aneurysm Repair Using Transcaval Aortic Access

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