Precision in Distal Graft Deployment as an Additional Indication for Anterograde TEVAR through the Axillary Artery

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• 作者：A. Mallios ; ^{alexandrosmallios@gmail.com} ; B. Boura ; M. Combes
• 关键词：Anterograde TEVAR ; Axillary artery conduit ; Endovascular repair
• 刊名：EJVES Extra
• 出版年：2013
• 出版时间：May, 2013
• 年：2013
• 卷：25
• 期：5
• 页码：e35-e37
• 全文大小：339 K

文摘

Introduction

Anterograde thoracic endovascular aneurysm repair (TEVAR) has been reported for patients with not suitable anatomy for retrograde delivery.

Report

We report the case of a 72 year old female patient that we treated with TEVAR via anterograde axillary approach for a different indication; lack of distal neck over the coeliac trunk.

Discussion

Anterograde TEVAR via the axillary artery is rarely needed. Although delivering the graft from the femoral artery allows some precision in distal landing, anterograde delivery can be much more precise when distal neck is very limited or non existing. We did not use a prosthetic conduit to protect the axillary artery and we express our objection in current trends that suggest the opposite strategy.