A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm

The off-the-shelf t-Branch device (Cook Medical, Bloomington, Ind) significantly advanced the endovascular treatment of ruptured thoracoabdominal aortic aneurysms. Improved techniques for expeditious implantation of the t-Branch may improve clinical outcomes for this emergent procedure. Currently, i...

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Bibliographic Details
Main Authors: A. Claire Watkins, MD, MS, Alla Avramenko, MD, Raphael Soler, MD, Dominique Fabre, MD, PhD, Stephan Haulon, MD, PhD
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428718301205
Description
Summary:The off-the-shelf t-Branch device (Cook Medical, Bloomington, Ind) significantly advanced the endovascular treatment of ruptured thoracoabdominal aortic aneurysms. Improved techniques for expeditious implantation of the t-Branch may improve clinical outcomes for this emergent procedure. Currently, implantation is described using axillary and femoral access. We describe the repair of a ruptured thoracoabdominal aortic aneurysm exclusively through femoral access aided by a steerable sheath and newer generation, low-profile bridging stents. Keywords: Thoracoabdominal aneurysm, Aneurysm rupture, t-Branch
ISSN:2468-4287