Universität zu Köln

Brunkwall, Silke, Ahmad, Wael, Mylonas, Spyridon ORCID: 0000-0002-9875-4614, Sharkawy, Mohamed, Wippermann, Jens and Brunkwall, Jan (2015). The Ascending Aorta as an Exit Site for a Through-and-Through Wire in TEVAR. J. Endovascular Ther., 22 (6). S. 934 - 938. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 1545-1550

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Abstract

Purpose: To describe a technique for trans-ascending aorta through-and-through guidewire placement for thoracic endograft advancement and deployment. Case Report: A 55-year-old man presented with a symptomatic pseudoaneurysm of the distal aortic arch after aortic coarctation open repair. He had also undergone mechanical aortic valve replacement. Planned were a left-sided carotid-subclavian bypass and a thoracic endovascular aortic repair with a chimney graft to the left common carotid artery. After carotid-subclavian bypass, efforts to retrograde cannulate the aortic arch and advance the thoracic endograft were unsuccessful. Because of the mechanical heart valve, no transapical approach could be used. Access to the ascending aorta was gained through a midline sternotomy. A through-and-through wire was positioned from the ascending aorta to femoral artery, which provided the required stability for advancement of the thoracic endograft. Six-month computed tomography documented patent endografts and carotid-subclavian bypass and no evidence of endoleak. Conclusion: A trans-ascending aorta through-and-through guidewire is a feasible adjunct that can be added to the endovascular armamentarium when transcardiac or transbrachial approaches are impossible or ineffective.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Brunkwall, Silke UNSPECIFIED UNSPECIFIED UNSPECIFIED Ahmad, Wael UNSPECIFIED UNSPECIFIED UNSPECIFIED Mylonas, Spyridon UNSPECIFIED orcid.org/0000-0002-9875-4614 UNSPECIFIED Sharkawy, Mohamed UNSPECIFIED UNSPECIFIED UNSPECIFIED Wippermann, Jens UNSPECIFIED UNSPECIFIED UNSPECIFIED Brunkwall, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-385588
DOI:	10.1177/1526602815607441
Journal or Publication Title:	J. Endovascular Ther.
Volume:	22
Number:	6
Page Range:	S. 934 - 938
Date:	2015
Publisher:	SAGE PUBLICATIONS INC
Place of Publication:	THOUSAND OAKS
ISSN:	1545-1550
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRANSSEPTAL GUIDEWIRE TECHNIQUE; SURGICAL COARCTATION REPAIR; STENT-GRAFT PASSAGE; ENDOVASCULAR REPAIR; THORACIC PSEUDOANEURYSMS; ARCH; ANEURYSM; OUTCOMES Multiple languages Surgery; Peripheral Vascular Disease Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/38558