A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm

A. Claire Watkins, MD, MS; Alla Avramenko, MD; Raphael Soler, MD; Dominique Fabre, MD, PhD; Stephan Haulon, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2018)

A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm

A. Claire Watkins, MD, MS,
Alla Avramenko, MD,
Raphael Soler, MD,
Dominique Fabre, MD, PhD,
Stephan Haulon, MD, PhD

Affiliations

A. Claire Watkins, MD, MS: Aortic Center, Hôpital Marie Lannelongue, Université Paris Sud, Le Plessis-Robinson, France; Department of Cardiothoracic Surgery, Stanford University, Stanford, Calif
Alla Avramenko, MD: Aortic Center, Hôpital Marie Lannelongue, Université Paris Sud, Le Plessis-Robinson, France
Raphael Soler, MD: Department of Cardiothoracic Surgery, Stanford University, Stanford, Calif; Department of Vascular and Endovascular Surgery, Hôpital La Timone, Aix-Marseille Université, Marseille, France
Dominique Fabre, MD, PhD: Aortic Center, Hôpital Marie Lannelongue, Université Paris Sud, Le Plessis-Robinson, France
Stephan Haulon, MD, PhD: Aortic Center, Hôpital Marie Lannelongue, Université Paris Sud, Le Plessis-Robinson, France; Correspondence: Stephan Haulon, MD, PhD, Aortic Center, Department of Aortic and Vascular Surgery, Hôpital Marie Lannelongue, INSERM UMR_S 999, Université Paris Sud, 92350 Le Plessis-Robinson, France

Journal volume & issue: Vol. 4, no. 4
pp. 301 – 304

Abstract

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The off-the-shelf t-Branch device (Cook Medical, Bloomington, Ind) significantly advanced the endovascular treatment of ruptured thoracoabdominal aortic aneurysms. Improved techniques for expeditious implantation of the t-Branch may improve clinical outcomes for this emergent procedure. Currently, implantation is described using axillary and femoral access. We describe the repair of a ruptured thoracoabdominal aortic aneurysm exclusively through femoral access aided by a steerable sheath and newer generation, low-profile bridging stents. Keywords: Thoracoabdominal aneurysm, Aneurysm rupture, t-Branch

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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