Related Experiment Video
Updated: Mar 17, 2026
06:04
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
679
Direct Transaortic TEVAR: An Alternative Option for Selected Patients With Unsuitable Peripheral Access
Luca Botta1, Giuseppe Bruschi1, Pasquale Fratto1
1Cardiac Surgery, Niguarda Hospital, Milano, Italy.
The Annals of Thoracic Surgery
|July 25, 2016
Summary
Direct transaortic thoracic endovascular aortic repair (TEVAR) offers a novel approach for aortic diseases. This technique successfully introduced stent grafts directly into the ascending aorta, avoiding external conduits with excellent long-term outcomes.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Thoracic endovascular aortic repair (TEVAR) is a standard treatment for aortic arch and descending aortic diseases.
- Peripheral access sites are typically used for TEVAR procedures.
- Alternative access routes require careful consideration and intraoperative assessment.
Purpose of the Study:
- To report the feasibility and outcomes of direct transaortic TEVAR.
- To present a novel technique for stent graft delivery without external conduits.
- To evaluate the long-term safety and efficacy of this approach.
Main Methods:
- Two cases of direct transaortic TEVAR were performed.
- Stent grafts were introduced directly into the native ascending aorta.
- No external conduits were utilized for stent graft delivery.
Main Results:
- Both cases demonstrated successful stent graft deployment.
- Satisfactory results were achieved in both patients.
- No aortic-related complications were observed during 2 and 5 years of follow-up.
Conclusions:
- Direct transaortic TEVAR is a viable alternative access route.
- This technique can be performed safely and effectively for specific aortic pathologies.
- Long-term follow-up confirms the absence of significant aortic complications.
