Avoiding Arch Manipulation with Catheterization of Left Subclavian Artery for Endovascular Repair of Distal Descending Aorta: Acibadem Technique

Although thoracic endovascular aortic repair (TEVAR) is associated with reduced mortality and shorter hospital stay compared to open surgery, the decrease in stroke risk did not reach the desired rates. Aortic arch manipulation is one of the main concerns leading to stroke during TEVAR. Here, we des...

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Bibliographic Details
Published in:Innovations (Philadelphia, Pa.) Pa.), 2020-03, Vol.15 (2), p.163-165
Main Authors: Senay, Sahin, Akansel, Serdar, Güllü, Ahmet Ümit, Alhan, Cem
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - complications
Angiography - methods
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - pathology
Aorta, Thoracic - surgery
Atherosclerosis - complications
Catheterization - instrumentation
Catheterization - methods
Endovascular Procedures - adverse effects
Endovascular Procedures - instrumentation
Humans
Preoperative Period
Risk Factors
Stents
Stroke - epidemiology
Stroke - prevention & control
Subclavian Artery - diagnostic imaging
Subclavian Artery - surgery
Tomography, X-Ray Computed - methods
Vascular Surgical Procedures - instrumentation
Vascular Surgical Procedures - trends
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Summary:Although thoracic endovascular aortic repair (TEVAR) is associated with reduced mortality and shorter hospital stay compared to open surgery, the decrease in stroke risk did not reach the desired rates. Aortic arch manipulation is one of the main concerns leading to stroke during TEVAR. Here, we describe a new technique called “Acibadem Technique” to avoid arch and ascending aorta manipulation with catheterization of left subclavian artery for endovascular distal descending aortic repair.
ISSN:1556-9845
1559-0879
DOI:10.1177/1556984520906133