Intravascular ultrasound-guided transcaval approach for thoracic endovascular aneurysm repair
Sanjeev S Dhara1, Ian Stines2, Ross Milner2
1Pritzker School of Medicine, The University of Chicago, Chicago, IL.
Journal of Vascular Surgery Cases and Innovative Techniques
|October 20, 2022
Abstract:
Thoracic endovascular aortic repair will typically require adequate caliber iliofemoral arteries for device deployment. We describe the case of a patient with extensive iliofemoral disease, which necessitated transcaval delivery of an aortic graft to repair a distal aortic arch aneurysm. Our case report highlights the novel use of intravascular ultrasound to localize an optimal site for creation of an aortocaval connection and the subsequent use of a ventricular septal defect occluder to close the connection after successful stent deployment.
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