The axillary artery - a new approach for endovascular treatment of thoracic aortic diseases

Saadi, Eduardo Keller; Dussin, Luiz Henrique; Moura, Leandro de; Machado, André Severo

doi:10.1510/icvts.2010.245274

Cited by 17 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We have recently published a series of five clinical cases and described the technique in which the axillary artery was used to deliver the endograft for the treatment of different thoracic aortic diseases [9]. We also demonstrated the possibility of concomitant treatment of ascending aorta disease and coronary stent implantation [10,11].…”

Section: Access and Techniquementioning

confidence: 99%

Endovascular Treatment of Ascending Aorta: The Last Frontier?

Saadi¹,

Almeida²,

Zago³

2013

Artery Bypass

View full text Add to dashboard Cite

Section: Access and Techniquementioning

confidence: 99%

Endovascular Treatment of Ascending Aorta: The Last Frontier?

Saadi¹,

Almeida²,

Zago³

2013

Artery Bypass

View full text Add to dashboard Cite

“…12 Endovascular treatment of the thoracic aorta via the axillary artery has also proven to be feasible. 13 This demonstrates the feasibility of relatively large intraluminal constructs delivered via the axillary arteries to the ascending aorta.…”

Section: Discussionmentioning

confidence: 80%

Use of Axillary Cannulation for Simultaneous Endo-Occlusion and Antegrade Perfusion during Minimally Invasive Surgery

Farivar

Fernandez

2012

Innovations�(Phila)

View full text Add to dashboard Cite

Objective We aimed to develop an antegrade arterial perfusion method that would allow a single suture line on the heart. Methods Using an 8-mm Dacron graft sewn to the right axillary artery, we performed antegrade arterial flow and simultaneous endo-occlusion, as well as the delivery of antegrade cardioplegia. Results Five patients underwent right axillary antegrade flow, with intention to use axillary endo-occlusion. There were no deaths, axillary artery injuries, or conversions to sternotomy. One patient who had a small (6 mm) axillary artery required femoral arterial balloon placement with axillary arterial flow. When using a 100-mm endobal-loon, transesophageal echo alone is suitable for placement of the endo-balloon. All patients are alive and doing well at least 1 year after surgery. Conclusions The right axillary artery is a suitable conduit for simultaneous endo-occlusion, antegrade flow, and antegrade cardioplegia delivery during mitral valve surgery.

show abstract

“…Rayan et al [12] described a case in which the left axillary artery cutdown approach was used to deploy the endoprosthesis in the ascending aorta, which might temporarily occlude or permanently compromise LIMA. We recently published a description of bailout procedures using the axillary artery as access when the femoral artery cannot be used [13], but the femoral approach was adequate in this patient. The risk of neurological complications was minimized by positioning a wire in the brachiocephalic trunk to serve as reference.…”

Section: Discussionmentioning

confidence: 95%

Endovascular approach to treat ascending aortic pseudoaneurysm in a patient with previous CABG and very high surgical risk

Zago

Saadi

2011

Cathet Cardio Intervent

View full text Add to dashboard Cite

Pseudoaneurysm of the ascending aorta is an uncommon pathology and a challenge in high-risk patients who undergo conventional surgery because of high operative morbidity and mortality. Endovascular exclusion of an aortic pseudoaneurysm using an endoprosthesis is a less invasive approach, but few such cases have been reported. Moreover, the use of this approach poses unique therapeutic challenges because there is no specific endoprosthesis for ascending aortic repair, particularly to treat patients with previous coronary artery bypass graft (CABG). We describe the case of a 74-year-old patient who had undergone CABG and later presented with an iatrogenic ascending aortic pseudoaneurysm that occurred during an angiography. This patient was at very high risk for surgical treatment and, therefore, an endovascular approach was adopted: percutaneous coronary intervention for the left main coronary artery, left anterior descending and left circumflex native coronary arteries followed by endovascular endoprosthesis deployment in the ascending aorta to exclude the pseudoaneurysm. Both procedures were successfully performed, and the patient was discharged without complications 4 days later. At 5 months' clinical follow-up, his clinical condition was good and he had no complications.

show abstract

The axillary artery - a new approach for endovascular treatment of thoracic aortic diseases

Cited by 17 publications

References 7 publications

Endovascular Treatment of Ascending Aorta: The Last Frontier?

Endovascular Treatment of Ascending Aorta: The Last Frontier?

Use of Axillary Cannulation for Simultaneous Endo-Occlusion and Antegrade Perfusion during Minimally Invasive Surgery

Endovascular approach to treat ascending aortic pseudoaneurysm in a patient with previous CABG and very high surgical risk

Contact Info

Product

Resources

About