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

doi:10.1016/j.jvir.2015.07.024

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 journal › Article › peer-review

20 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 language	English (US)
Pages (from-to)	1437-1441
Number of pages	5
Journal	Journal of Vascular and Interventional Radiology
Volume	26
Issue number	10
DOIs	https://doi.org/10.1016/j.jvir.2015.07.024
State	Published - Oct 1 2015
Externally published	Yes

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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title = "Transcaval Aortic Access for Percutaneous Thoracic Aortic Aneurysm Repair: Initial Human Experience",

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.",

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AU - Uflacker, Andre

AU - Lim, Scott

AU - Ragosta, Michael

AU - Haskal, Ziv J.

AU - Lederman, Robert J.

AU - Kern, John

AU - Upchurch, Gilbert

AU - Huber, Timothy

AU - Angle, John F.

AU - Ailawadi, Gorav

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AB - 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.

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

Abstract

ASJC Scopus subject areas

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