Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2017)

Aortic arch banding procedure for proximal type I endoleak after thoracic endovascular aneurysm repair with the chimney technique

  • Genta Chikazawa, MD, PhD,
  • Arudo Hiraoka, MD,
  • Koichi Inoue, MD,
  • Kentaro Tamura, MD, PhD,
  • Taichi Sakaguchi, MD, PhD,
  • Hidenori Yoshitaka, MD, PhD

DOI
https://doi.org/10.1016/j.jvscit.2017.09.002
Journal volume & issue
Vol. 3, no. 4
pp. 228 – 231

Abstract

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An aortic arch banding procedure was performed on an 82-year-old man for treatment of proximal type I endoleaks 2 days after he had undergone emergency thoracic endovascular aortic repair with the chimney technique for a ruptured aortic arch aneurysm. Contrast-enhanced computed tomography after the second procedure demonstrated significant shrinkage of the aneurysmal sac as well as a complete disappearance of the endoleaks. The basic concept of this technique is to treat the type IA endoleak, including possible gutter endoleaks, by creating a new proximal seal zone distal to the chimney graft using a banding technique.