Balloon-assisted deployment prevents endograft misalignment during hybrid aortic arch repair

Arminder Singh Jassar; Michael A Golden; John G Augoustides; William J Vernick; Joseph E Bavaria; Wilson Y Szeto

doi:10.1016/j.athoracsur.2010.11.022

Balloon-assisted deployment prevents endograft misalignment during hybrid aortic arch repair

Ann Thorac Surg. 2011 Jun;91(6):1982-4. doi: 10.1016/j.athoracsur.2010.11.022.

Authors

Arminder Singh Jassar¹, Michael A Golden, John G Augoustides, William J Vernick, Joseph E Bavaria, Wilson Y Szeto

Affiliation

¹ Department of Surgery, University of Pennsylvania Medical Center, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania 19104, USA.

PMID: 21620000
DOI: 10.1016/j.athoracsur.2010.11.022

Abstract

Misaligned deployment refers to eccentric flaring of the bare stent portion of the endograft that causes proximal device retroflexion resulting in suboptimal graft placement. A 71-year-old woman with 6.8-cm distal aortic arch aneurysm underwent hybrid repair with combination of open aortic arch debranching and subsequent thoracic endovascular aortic repair. During endograft deployment, misaligned opening occurred; this was corrected by using a balloon-assisted graft deployment. Follow up imaging continues to demonstrate complete aneurysm exclusion. Misaligned deployment is a clinical challenge; we hereby present a previously undescribed technique to accommodate this limitation of the current endograft technology.

Publication types

Case Reports

MeSH terms

Aged
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation / methods*
Catheterization
Female
Humans
Stents