Double-barrel technique for endovascular exclusion of an aortic arch aneurysm without sternotomy

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Zachary K BaldwinDarren B Schneider

Abstract

To report the use of commercially available stents and a stent-graft in coaxial orientation to extend the proximal limits of endografting within the aortic arch. A 70-year-old man was found to have an asymptomatic 7-cm saccular aortic arch aneurysm, extending distally from the origin of the left carotid artery and involving the left subclavian artery; there was only 11 mm between the innominate artery orifice and the aneurysm. The patient was deemed to be high risk for open surgical repair due to a history of 2 prior sternotomies and the requirement for hypothermic circulatory arrest. A "double-barrel" stent-graft strategy combining retrograde placement of an innominate stent with thoracic stent-graft implantation into zone 0 was successfully executed. The patient has continued to fare well after 10 months on close follow-up. The "double-barrel" stent technique may extend the limits of thoracic endografting by preserving the aortic arch branches while avoiding the need for sternotomy. Using this technique, proximal fixation can be obtained well into the ascending aorta using commercially available devices.

References

Aug 9, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Frank J CriadoCecilia F Wang
Oct 16, 2003·Journal of Vascular Surgery·Timothy A M ChuterLouis M Messina
Jan 16, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hardy SchumacherJens-Rainer Allenberg
Feb 1, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jade S HiramotoTimothy A M Chuter
Sep 5, 2006·Journal of Vascular Surgery·Hossam M Saleh, Luigi Inglese
Sep 26, 2006·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Koji SakuraiKazuki Tajima
Jan 9, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G MelissanoR Chiesa
Feb 13, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Frank J Criado

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Citations

Apr 24, 2013·The Annals of Thoracic Surgery·Makoto SamuraKimikazu Hamano
Sep 5, 2012·Annals of Vascular Surgery·Jian YangWei Guo
Oct 16, 2012·Seminars in Vascular Surgery·Armando C Lobato, Luciana Camacho-Lobato
May 24, 2013·Journal of Vascular Surgery·Wouter HogendoornBart E Muhs
Aug 2, 2011·Journal of Vascular and Interventional Radiology : JVIR·Norio HongoHiromu Mori
Feb 1, 2011·Journal of Vascular and Interventional Radiology : JVIR·Jens C RitterRaymond Ashleigh
Jun 13, 2015·Cardiovascular and Interventional Radiology·Chen HuangMin Zhou
Dec 10, 2008·Seminars in Roentgenology·Cyrus J Parsa, G Chad Hughes
Aug 21, 2010·Journal of Vascular Surgery·G Matthew Longo, Iraklis I Pipinos
Jul 27, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R A YoshidaF Lin
Feb 1, 2011·Journal of Vascular Surgery·Felix J V SchlösserBart E Muhs
May 11, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P GeisbüschD Böckler
Aug 25, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Chang ShuHao He
Apr 24, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Nicola MangialardiSonia Ronchey
Oct 14, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ralf Kolvenbach
Oct 14, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Bernd GehringhoffKonstantinos P Donas
Dec 14, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Timothy A M Chuter, Roy K Greenberg
Jun 18, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Fabio RamponiGeoffrey H White
Feb 9, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Felix J V Schlösser, Bart E Muhs
Feb 9, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hans KrankenbergThomas Zeller
Jul 19, 2016·Annals of Vascular Surgery·Oscar A MendizCarlos M Fava
Sep 18, 2012·Vascular·George A AntoniouFerdinand Serracino-Inglott
Apr 23, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Frank J Criado
Apr 30, 2013·Expert Review of Cardiovascular Therapy·Nila J AkhtarPhilip A Araoz
Apr 8, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Tun WangChen-Zi Yang
Feb 7, 2021·Journal of Cardiac Surgery·Callum HowardMohammad Bashir

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