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Back-table Modified Aortic Endograft Deployed via "Innominate Bounce" Technique for Management of a Zone 0 Ascending
John M Moriarty1, Raj Shah2, Anthony N Hage3
1Department of Radiology, Division of Interventional Radiology, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Annals of Vascular Surgery
|May 11, 2019
Abstract:
Ascending aortic pseudoaneurysms pose a difficult therapeutic dilemma. Surgical repair carries high morbidity and mortality risk and may be challenging in patients with unfavorable anatomy or prior aortic surgery. Endovascular repair is difficult due to short landing zones, need for precise delivery, and the lack of adequately sized commercially available devices. This report describes a case of back-table modification of a thoracic aortic stent graft successfully deployed using an "innominate bounce" technique.