New access to facilitate endovascular repair of descending aorta aneurysms

Minale, C; Cappiello, Pierluigi; Cimmino, Bruno; Natale, Maurilio Di

doi:10.1016/s0003-4975(03)01007-5

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…Access to the aortic arch using a conduit technique has been previously performed without haemodynamic compromise, but excessive intimal debris may limit access sites due to the risks of cerebral embolisation. 4 In this case, optimal access was achieved at the level of the ascending aorta at median sternotomy. The technical aspects of fashioning the conduit were straightforward and performed without circulatory arrest or haemodynamic manipulation.…”

Section: Discussionmentioning

confidence: 94%

“…5 Antegrade aortic arch access has been previously documented for treatment of distal aortic arch or descending thoracic aortic aneurysms. 3,4 Direct access to the aortic arch can been successfully achieved via aortotomy between the left common carotid and subclavian arteries, suturing the proximal end of the stent-graft circumferentially onto the aortic wall, followed by closure of the anterior arteriotomy. 3 This technique requires circulatory arrest with extracorporeal circulation.…”

Section: Discussionmentioning

confidence: 99%

“…Alternative antegrade access routes have been described, including the transcarotid route, 1 transapical delivery, 2 direct aortic arch access 3 and via aortic arch conduit. 4 We report a modified antegrade access technique, where an ascending aortic conduit was used for device delivery during TEVAR, in a patient with a descending thoracic aortic aneurysm and previous ligation of the infra-renal aorta.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Descending Thoracic Endovascular Aneurysm Repair: Antegrade Approach via Ascending Aortic Conduit

Bhutia

Wales

Jackson

et al. 2011

European Journal of Vascular and Endovascular Surgery

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Descending Thoracic Endovascular Aneurysm Repair: Antegrade Approach via Ascending Aortic Conduit

Bhutia

Wales

Jackson

et al. 2011

European Journal of Vascular and Endovascular Surgery

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“…The authors concluded that it is an acceptable technique, especially so in those undergoing an accessory thoracic surgical procedure. This approach has more recently been advocated by Minale et al 54…”

Section: Direct Aortic Accessmentioning

confidence: 99%

Access for Endovascular Aneurysm Repair

Murray¹,

Ghosh²,

Khwaja³

et al. 2006

Journal of Endovascular Therapy

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Despite advancement in stent-graft technology, access-related problems continue to occur during endovascular repair of aortic aneurysms. Various techniques have been adopted to overcome difficult access situations, however. To survey these developments in arterial access, we performed a systematic literature review from 1994 through 2005 to identify relevant articles pertaining to endovascular access techniques and complications. Excessive iliac tortuosity, circumferential vessel wall calcification, significant occlusive disease, and small caliber vessels account for the majority of access problems, most of which are readily apparent with adequate baseline imaging. Even with careful preoperative assessment, however, some access problems may not be foreseen; nonetheless, the majority can be overcome using today's array of ancillary procedures, such as an iliac conduit, a brachiofemoral wire, or arterial reconstruction. Alternatively, other approach routes, such as the common carotid artery or direct aortic access, may be used to facilitate endovascular aneurysm repair.

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