Transcaval Aortic Access for Percutaneous Thoracic Aortic Aneurysm Repair: Initial Human Experience

Andre Uflacker, Scott Lim, Michael Ragosta, Ziv J. Haskal, Robert J. Lederman, John Kern, Gilbert Upchurch, Timothy Huber, John F. Angle, Gorav Ailawadi

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Transcaval aortic access has been used for deployment of transcatheter aortic valves in patients in whom conventional arterial approaches are not feasible. The present report describes its use for thoracic endovascular aortic repair (TEVAR) in a 61-year-old man with a descending thoracic aneurysm. Transcaval access was performed in lieu of a surgical iliac conduit in view of small atherosclerotic pelvic arteries. TEVAR was successfully performed, followed by intervascular tract occlusion with the use of a ventricular septal occluder. Computed tomography 2 d later demonstrated no extravasation. At 1 mo, the aneurysm was free of endoleaks, the aortocaval tract had healed, and the patient had returned to baseline functional status.

Original languageEnglish (US)
Pages (from-to)1437-1441
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume26
Issue number10
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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