Total Transfemoral Percutaneous Endovascular Aortic Arch Repair Using 3-Vessel Inner Branch Stent-Graft

Emanuel R Tenorio; Thanila A Macedo; Laura Ocasio; Marina Dias Neto; Guilherme B Barbosa Lima; Aidin Baghbani-Oskouei; Anthony L Estrera; Abhijeet Dhoble; Shao Feng Zhou; Gustavo S Oderich

doi:10.1016/j.jaccas.2022.10.012

Total Transfemoral Percutaneous Endovascular Aortic Arch Repair Using 3-Vessel Inner Branch Stent-Graft

JACC Case Rep. 2022 Nov 23;4(24):101680. doi: 10.1016/j.jaccas.2022.10.012. eCollection 2022 Dec 21.

Affiliations

¹ Department of Cardiothoracic and Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas, USA.
² Department of Diagnostic and Interventional Imaging, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas, USA.
³ Department of Cardiovascular Disease and Interventional Cardiology, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas, USA.
⁴ Department of Anesthesiology, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, Texas, USA.

Abstract

Endovascular repair has been introduced to decrease the morbidity and mortality associated with open surgical repair of aortic arch pathology. We illustrate total percutaneous transfemoral approach with a 3-vessel inner branch stent-graft to treat aortic arch aneurysm. (Level of Difficulty: Advanced.).

Keywords: CTA, computed tomographic angiography; IA, innominate artery; LCCA, left common carotid artery; LSA, left subclavian artery; RCCA, right common carotid artery; endovascular arch repair; patient-specific stent-graft; percutaneous arch repair; postdissection arch aneurysm; preloaded catheter; transcatheter arch repair.

Publication types

Case Reports