Fenestrated Endovascular Repair with Debranching Technique for Blunt Traumatic Isthmus Injury

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  • Morisaki Akimasa
    Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine
  • Sohgawa Etsuji
    Department of Diagnosis and Interventional Radiology, Osaka City University Graduate School of Medicine
  • Fujii Hiromichi
    Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine
  • Yamane Kokoro
    Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine
  • Shibata Toshihiko
    Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine

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Abstract

<p>Thoracic endovascular repair (TEVAR) is a safe treatment alternative to open repair for blunt traumatic aortic injury (BTAI). A 29 year-old-female had multiple traffic injuries, including BTAI located in lesser curve of the isthmus close to the left common carotid artery with an isolated left vertebral artery. TEVAR with simple covering of the left subclavian artery was not adequate to prevent the endoleak. We considered fenestrated TEVAR with RELAY® PLUS to ensure blood flow to the left common carotid artery and reconstruction of the left isolated vertebral and left subclavian artery. The fenestrated TEVAR with a debranching technique provided good results without device-related complications.</p>

Journal

  • Annals of Vascular Diseases

    Annals of Vascular Diseases 11 (4), 565-568, 2018-12-25

    The Editorial Committee of Annals of Vascular Diseases

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