The End of Wire Wrapping: A Technique to Avoid Intertwining Preloaded Guidewires for Endovascular Aortic Arch Repair

2021 ◽  
pp. 152660282110547
Author(s):  
André B. Queiroz ◽  
José S. Araújo Filho ◽  
Rodrigo S. Mota ◽  
Nelson De Luccia ◽  
Grace C. Mulatti ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Ascending Aorta ◽  
New Technique ◽  
Covered Stents ◽  
Aortic Arch Repair ◽  
A New Technique ◽  
Stiff Guidewire

Purpose: The purpose of this study was to present a new technique for endovascular aortic arch repair for 1, 2, or 3 vessels using preloaded wires and precannulated target vessels without wire wrapping. Technique: This technique uses a prototype catheter with 2 parallel lumens to position through-and-through guidewires in the supra-aortic branches and an extra-stiff guidewire in the ascending aorta with no wrapping. This allows the introduction and advancement of the device with the already precannulated target vessels. The endograft is advanced to the aortic arch without twisting or wrapping. Covered stents are deployed to align the graft and target vessels. Conclusion: To our knowledge, a technique that avoids wire wrapping has not been previously described. This technique allows safer and faster endovascular arch procedures and opens up new possibilities by enabling multi-vessel endovascular aortic arch repair with all precannulated target vessels.

A New Technique for Interrupted Aortic Arch Repair: The Neville Tube

2010 ◽  
Vol 90 (4) ◽  
pp. 1375-1376 ◽  
Author(s):  
Eric Bergoënd ◽  
Antoine Bouissou ◽  
Florent Paoli ◽  
Nicolas Roullet-Renoleau ◽  
Alain Duchalais ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Interrupted Aortic Arch ◽  
New Technique ◽  
Aortic Arch Repair ◽  
A New Technique

scholarly journals Virtual Angioscopy and 3D Navigation: A New Technique for Analysis of the Aortic Arch after Vascular Surgery

2010 ◽  
Vol 40 (3) ◽  
pp. 340-347 ◽  
Author(s):  
N. Louis ◽  
E. Bruguiere ◽  
H. Kobeiter ◽  
P. Desgranges ◽  
E. Allaire ◽  
...  
Keyword(s):  
Vascular Surgery ◽  
Aortic Arch ◽  
New Technique ◽  
3D Navigation ◽  
Virtual Angioscopy ◽  
A New Technique

scholarly journals Surgical Aortic Arch Intervention at the time of Extended Ascending Aortic Replacement is Associated with Increased Mortality

2021 ◽  
Author(s):  
Michael Bowdish ◽  
Daniel Logsdon ◽  
Ramsey Elsayed ◽  
Wendy Mack ◽  
Brittany Abt ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Ascending Aorta ◽  
Conservative Approach ◽  
Factors Associated ◽  
Aortic Replacement ◽  
Ascending Aortic Replacement ◽  
Aortic Arch Repair ◽  
Multivariable Models ◽  
Patch Technique

Objective: To compare outcomes of hemiarch versus total arch repair during extended ascending aortic replacement. Methods: Between 2004 and 2017, 261 patients underwent hemiarch (n=149, 57%) or total arch repair (aortic debranching or Carrell patch technique, n=112, 43%) in the setting of extended replacement of the ascending aorta. Median follow-up was 17.2 (IQR 4.2–39.1) months. Multivariable models considering preoperative and intraoperative factors associated with mortality and aortic reintervention were constructed. Results: Survival was 89.0, 81.3, and 73.5% vs. 76.4, 69.5, and 61.7% at 1, 3, and 5 years in the hemiarch versus total arch groups, respectively (log-rank p=0.010). After adjustment for preoperative and intraoperative factors, the presence of a total arch repair (adjusted HR 2.53, 95% CI 1.39 – 4.62, p=0.003), and increasing age (adjusted HR per 10 years of age, 1.76, 95% CI 1.37 – 2.28, p<0.001) were associated with increased mortality. The cumulative incidence of aortic reintervention with death as a competing outcome was 2.6, 2.6, and 4.4% and 5.0, 10.3, and 11.9% in the hemiarch and total arch groups, respectively. After adjustment, the presence of a total arch repair was significantly associated with need for aortic reintervention (SHR 3.21, 95% CI 1.01 – 10.2, p=0.047). Conclusions: Overall survival after aortic arch repair in the setting of extended ascending aortic replacement is excellent, however, total arch repair and increasing age are associated with higher mortality and reintervention rates. A conservative approach to aortic arch repair can be prudent, especially in those of advanced age.

Trocar Cannulation of the Ascending Aorta: A New Technique

1983 ◽  
Vol 36 (3) ◽  
pp. 360-363 ◽  
Author(s):  
G. Frank O. Tyers ◽  
A.J. Larrieu ◽  
J. Basaraba
Keyword(s):  
Ascending Aorta ◽  
New Technique ◽  
A New Technique

Implantation of endovascular stents for hypoplasia of the transverse aortic arch

2000 ◽  
Vol 10 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Jaana Pihkala ◽  
Carlos A. C. Pedra ◽  
David Nykanen ◽  
Lee N. Benson
Keyword(s):  
Adverse Events ◽  
Aortic Arch ◽  
Aortic Coarctation ◽  
New Technique ◽  
Endovascular Stents ◽  
A New Technique ◽  
Major Adverse Events ◽  
Successful Repair

AbstractHypoplasia of the transverse aortic arch is commonly associated with aortic coarctation. Persistent or recurrent obstruction can occur at this level after successful repair of the native coarcted segment. The purpose of this report is to present a new technique to treat such lesions, namely with implantation of a balloon-expandable stent. This approach was used successfully in 4 children with such hypoplasia occurring after repair of coarctation. Implantation led to both anatomical and physiological relief of obstruction in all. The patients tolerated the procedure, and there were no major adverse events.

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