A Modified Technique of Direct Aortic Arch Debranching Using a Shunt for Cerebral Perfusion Protection During Hybrid Repair of an Aortic Arch Aneurysm

J. Akasaka; T. Saito; K. Kumagai; Y. Hayatsu; Y. Saiki; K. Tabayashi

doi:10.1016/j.ejvsextra.2012.10.002

A Modified Technique of Direct Aortic Arch Debranching Using a Shunt for Cerebral Perfusion Protection During Hybrid Repair of an Aortic Arch Aneurysm

J. Akasaka, T. Saito, K. Kumagai, Y. Hayatsu, Y. Saiki, K. Tabayashi

MED - Medical Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Introduction: We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction. Case report: Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed. Discussion: This method is safe and useful for elderly persons with advanced arteriosclerosis.

Original language	English
Pages (from-to)	e3
Journal	EJVES Extra
Volume	25
Issue number	1
DOIs	https://doi.org/10.1016/j.ejvsextra.2012.10.002
Publication status	Published - 2013 Jan

Keywords

High-risk patient
Hybrid therapy
Thoracic aortic aneurysm

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10.1016/j.ejvsextra.2012.10.002

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abstract = "Introduction: We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction. Case report: Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed. Discussion: This method is safe and useful for elderly persons with advanced arteriosclerosis.",

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AU - Akasaka, J.

AU - Saito, T.

AU - Kumagai, K.

AU - Hayatsu, Y.

AU - Saiki, Y.

AU - Tabayashi, K.

PY - 2013/1

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N2 - Introduction: We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction. Case report: Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed. Discussion: This method is safe and useful for elderly persons with advanced arteriosclerosis.

AB - Introduction: We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction. Case report: Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed. Discussion: This method is safe and useful for elderly persons with advanced arteriosclerosis.

KW - High-risk patient

KW - Hybrid therapy

KW - Thoracic aortic aneurysm

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A Modified Technique of Direct Aortic Arch Debranching Using a Shunt for Cerebral Perfusion Protection During Hybrid Repair of an Aortic Arch Aneurysm

Abstract

Keywords

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