[Hybrid Thoracic Endovascular Aortic Repair with Total Debranching of Supra-aortic Trunks].

Abstract

The method of hybrid arch thoracic endovascular aortic repair (TEVAR) to treat aneurysm with zone 0 landing has changed according to its invasiveness and complications. The real chimney technique allows supra-aortic bypass from ascending aorta without side clamp is the current choice of treatment. The comprehensive strategy to prevent stroke during hybrid arch TEVAR consisting of magnetization-prepared rapid acquisition with gradient-echo for evaluation of the atheromatous change and balloon protection of the left subclavian artery has contributed for the marked reduction of stroke. Our current strategy of hybrid arch TEVAR with zone 0 landing is discussed.

• Authors: Yoshimasa Seike, Hiroshi Tanaka, Hitoshi Matsuda
• Journal: Kyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 70 Issue 4 Pg. 275-280 (Apr 2017) ISSN: 0021-5252 [Print] Japan
• PMID: 28428524 (Publication Type: Case Reports, Journal Article)

Topics

• Aged, 80 and over
• Aortic Dissection (surgery)
• Aorta, Thoracic
• Aortic Aneurysm, Thoracic (surgery)
• Blood Vessel Prosthesis Implantation
• Endovascular Procedures (methods)
• Humans
• Male
• Stents
• Stroke (prevention & control)