Document Detail

Use of the right brachio-femoral wire approach to manage a thoracic aortic aneurysm in an extremely angulated and tortuous aorta with an endoluminal stent graft.
MedLine Citation:
PMID:  18203765     Owner:  NLM     Status:  MEDLINE    
The presence of a tortuous, elongated thoracic aorta and an angulated arch poses a technical challenge for the delivery of an endoluminal graft to the target site to exclude management of a thoracic aortic aneurysm. Despite the availability of a flexible delivery sheath system, adjunct techniques are necessary to deal with extremely tortuous thoracic aortas. The use of a brachio-femoral wire with tension applied at both ends is a useful technique to deliver an endoluminal graft in an angulated thoracic arch. We describe the use of a right brachio-femoral wire approach to treat a thoracic aortic aneurysm in a 75-year-old man with an elongated, tortuous and angulated arch aorta.
Jacques Kpodonu; Julio A Rodriguez-Lopez; Venkatesh G Ramaiah; Edward B Diethrich
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-01-18
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-02     Completed Date:  2008-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  269-71     Citation Subset:  IM    
Division of Cardiac Surgery, North Western Memorial Hospital, 201 East Huron Street, Galter 11-140, Chicago, IL 60611, USA.
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MeSH Terms
Aorta, Thoracic / pathology,  surgery*
Aortic Aneurysm, Thoracic / pathology,  surgery*
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / instrumentation,  methods*
Brachial Artery* / radiography
Femoral Artery* / radiography
Radiography, Interventional
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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