Thoracic aorta stent grafting through transapical access.
SourceAnnals of Vascular Surgery, 29, 2, (2015), pp. 362.e5-9
1 februari 2015
Article / Letter to editor
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Cardio Thoracic Surgery
Annals of Vascular Surgery
SubjectRadboudumc 16: Vascular damage RIHS: Radboud Institute for Health Sciences
BACKGROUND: To describe the transapical approach for thoracic endovascular aortic repair (TEVAR). METHODS: Three patients, 2 elective and 1 emergent, with thoracic aorta aneurysm are described with vascular or direct aortic inaccessible access, who underwent TEVAR through transapical access. The technique is described in detail emphasizing the usefulness of the through-and-through guidewire, rapid pacing, and transesophageal echocardiography guidance. RESULTS: All patients were technical successfully treated with TEVAR through transapical access. The emergent patient, however, died due to multiorgan failure. CONCLUSIONS: Our early experience shows that the transapical approach for TEVAR procedures is feasible in experienced hands. The selection of the patient and careful planning based on imaging are of paramount importance and should lead to the most suitable access site tailored to the need of the individual patient.
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