Proximal thoracic endograft displacement rescued by balloon-assisted pull-back, external shunting, and in situ fenestration of the left carotid artery

详细信息    查看全文

• 作者：Nikolaos Tsilimparis ; MD ; ^{n.tsilimparis@uke.de" class="auth_mail" title="E-mail the corresponding author} ; E. Sebastian Debus ; MD ; PhD ; Sabine Wipper ; MD ; Sebastian Carpenter ; MD ; PhD ; Christina Lohrenz ; MD ; Tilo Kö ; lbel ; MD ; PhD
• 刊名：Journal of Vascular Surgery
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：63
• 期：3
• 页码：815-818
• 全文大小：868 K

文摘

Proximal displacement of thoracic aortic endografts is a catastrophic adverse event, which rarely occurs but is associated with extremely high morbidity and mortality. We describe herein the case of a patient with accidental proximal displacement of a thoracic endograft with occlusion of all supra-aortic branches, successfully rescued by the combination of three advanced endovascular techniques: (1) aggressive pull-back maneuver with a compliant balloon; (2) establishment of an arterio-arterial temporary shunt to the occluded carotid artery over sheaths; and (3) in-situ fenestration of the occluded carotid artery.