Balloon-Supported Passage of a Stent-Graft into the Aortic Arch.
10.3348/kjr.2015.16.4.744
- Author:
Na Lae EUN
1
;
Dahye LEE
;
Suk Won SONG
;
Seung Moon JOO
;
Tilo KOLBEL
;
Kwang Hun LEE
Author Information
1. Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System, Seoul 135-720, Korea. doctorlkh@yuhs.ac
- Publication Type:Case Reports
- Keywords:
Thoracic aortic aneurysm;
Thoracic endovascular aortic repair;
Wide-necked aneurysm;
Proximal descending thoracic aorta;
Aortic arch;
Balloon-supported passage of an introducer system
- MeSH:
*Angioplasty, Balloon;
Angioplasty, Balloon, Coronary/*methods;
Aortic Aneurysm, Thoracic/radiography/*surgery;
Blood Vessel Prosthesis Implantation/*methods;
Endovascular Procedures/*methods;
Humans;
Male;
Middle Aged;
*Stents;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2015;16(4):744-748
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 62-year-old man was admitted, and thoracic endovascular aortic repair (TEVAR) procedure was performed to treat an accidentally detected aortic aneurysm, which was 63 mm in diameter. While performing TEVAR, the passage of the stent-graft introducer system was impossible due to the prolapse of the introducer system into a wide-necked aneurysm; this aneurysm was located at the greater curvature of the proximal descending thoracic aorta. In order to advance the introducer system, a compliant balloon was inflated. Thus, we created an artificial wall in the aneurysm with this inflated balloon. Finally, we were able to advance the introducer system into the target zone.
