The use of an extra-corporeal graft to maintain cerebral perfusion during thoracic endovascular aneurysm repair

L Wales; A Howard; N Bohm; G Munneke; I Loftus; M Thompson

doi:10.1016/j.ejvs.2007.02.019

The use of an extra-corporeal graft to maintain cerebral perfusion during thoracic endovascular aneurysm repair

Eur J Vasc Endovasc Surg. 2007 Aug;34(2):176-8. doi: 10.1016/j.ejvs.2007.02.019. Epub 2007 May 7.

Authors

L Wales¹, A Howard, N Bohm, G Munneke, I Loftus, M Thompson

Affiliation

¹ Department of Vascular Surgery, St. George's Hospital, London, UK. [email protected]

PMID: 17482483
DOI: 10.1016/j.ejvs.2007.02.019

Abstract

Endovascular access for aneurysm repair can be challenging in patients with iliofemoral occlusive disease. The carotid artery is an alternative access site, but may increase the risk of cerebral hypoperfusion during stent delivery. We describe a novel approach, where temporary extra-corporeal bypass was used to maintain cerebral perfusion during endovascular thoracic aneurysm repair via the carotid artery, in a patient with significant aorto-iliac and arch vessel disease.

Publication types

Case Reports

MeSH terms

Aortic Aneurysm, Abdominal / diagnostic imaging
Aortic Aneurysm, Abdominal / physiopathology
Aortic Aneurysm, Abdominal / surgery*
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / physiopathology
Aortic Aneurysm, Thoracic / surgery*
Aortography
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / instrumentation
Blood Vessel Prosthesis Implantation / methods*
Carotid Arteries / surgery*
Cerebrovascular Circulation*
Extracorporeal Circulation*
Female
Humans
Middle Aged
Patient Selection
Stents
Tomography, X-Ray Computed
Treatment Outcome