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Technical Aspects of Exclusive Transfemoral Route for Total Endovascular Arch Repair: A Custom-Made Device With Only Upward-Facing Inner Branches for Aortic Arch Treatment.
Ferreira, Marcelo; Mannarino, Matheus; Cunha, Rodrigo; Ferreira, Diego; Capotorto, Luiz Fernando; Mannarino, Guilherme.
Afiliação
  • Ferreira M; Department of Vascular and Endovascular Surgery, SITE Endovascular, Rio de Janeiro, Brazil.
  • Mannarino M; Department of Vascular and Endovascular Surgery, SITE Endovascular, Rio de Janeiro, Brazil.
  • Cunha R; Department of Vascular and Endovascular Surgery, SITE Endovascular, Rio de Janeiro, Brazil.
  • Ferreira D; Department of Vascular and Endovascular Surgery, SITE Endovascular, Rio de Janeiro, Brazil.
  • Capotorto LF; Department of Vascular and Endovascular Surgery, SITE Endovascular, Rio de Janeiro, Brazil.
  • Mannarino G; Department of Vascular and Endovascular Surgery, SITE Endovascular, Rio de Janeiro, Brazil.
J Endovasc Ther ; : 15266028241267734, 2024 Aug 05.
Article em En | MEDLINE | ID: mdl-39101532
ABSTRACT

PURPOSE:

The purpose was to demonstrate a new arch endograft configuration to allow total endovascular aortic arch repair exclusive from transfemoral approach. TECHNIQUE The custom-made multi-branched arch endograft (Cook Medical, Bloomington, Indiana) features 3 inner branches (IBs) for supra-aortic vessels incorporation and complete endovascular arch repair. Traditionally, the innominate and left carotid branches are anterograde IBs, requiring upper access for incorporation of these vessels, and the left subclavian branch is an upward-facing IB that can be incorporated from transfemoral access. We report a novel device configuration with only upward-facing IBs, allowing exclusive transfemoral route for total endovascular arch repair. Technical aspects, implantation technique, and limitations are described thoroughly.

CONCLUSION:

Herein is described an arch endograft configuration that simplifies endovascular aortic arch repair, allowing supra-aortic vessel incorporation through a transfemoral route only. This innovative design may serve as another alternative in selected patients. CLINICAL IMPACT This innovative endograft design, with only upward-facing inner branches, simplifies the total endovascular aortic arch repair by allowing for a exclusively transfemoral approach. This may reduce procedural complexity and minimizes risks associated with multiple access points. It provides another alternative, particularly beneficial for selected high-risk patients for open repair, potentially expanding the applicability of endovascular treatments for aortic arch pathologies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Endovasc Ther Assunto da revista: ANGIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Endovasc Ther Assunto da revista: ANGIOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos