Thoracic Endovascular Aortic Repair (TEVAR) Combined with Embolization Technique for Saccular Aortic Arch Aneurysm

Many of saccular aortic arch aneurysms exist near left subclabian artery(LSA). The thoracic endovascular aneurysm repair( TEVAR) landing on zone 2 is a less invasive and suitable procedure for this type of aneurysm. However, there are several cases with the aneurysm located close to LSA necessitate...

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Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 68; no. 1; p. 49
Main Authors Kondo, Shunichi, Katada, Yoshiaki, Tsuboi, Eitoshi, Nakamura, Ken, Takano, Tomohiro, Rokkaku, Kyu, Irie, Yoshihito, Yokoyama, Hitoshi
Format Journal Article
LanguageJapanese
Published Japan 01.01.2015
Subjects
Aged
Aged, 80 and over
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - surgery
Aortic Aneurysm, Thoracic - therapy
Combined Modality Therapy
Embolization, Therapeutic - methods
Enbucrilate - administration & dosage
Endovascular Procedures - methods
Ethiodized Oil - administration & dosage
Humans
Imaging, Three-Dimensional
Male
Stents
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Many of saccular aortic arch aneurysms exist near left subclabian artery(LSA). The thoracic endovascular aneurysm repair( TEVAR) landing on zone 2 is a less invasive and suitable procedure for this type of aneurysm. However, there are several cases with the aneurysm located close to LSA necessitate landing TEVAR on zone 1 or zone 0, otherwise the aneurysm could not be sealed completely. And this procedure seems to increase the invasiveness. In order to complete the sealing of the aneurysm and also keep the less invasiveness, we performed TEVAR using an axillo-axillary bypass or simple occlusion of LSA followed by an embolization using metal coil and NBCA through the catheter which detained in the saccular aneurysm beforehand. We report our experience of seven cases have been successfully treated by this procedure with good results.
ISSN:0021-5252