A new method for protection from shower embolism during TEVAR on a shaggy aorta

Gen Thorac Cardiovasc Surg. 2015 Feb;63(2):105-8. doi: 10.1007/s11748-013-0278-5. Epub 2013 Jun 22.

Abstract

The case of a patient with a thoracoabdominal aortic aneurysm accompanied by a shaggy aorta, in whom embolism was prevented by a graft used in debranching and placement of an extracorporeal shunt during thoracic endovascular aortic repair, called the "block and trap method", is presented. Two-staged operations were performed using Y graft replacement, debranching bypass, and thoracic endovascular aortic repair during which a temporary shunt line with a blood filter was made involving the femoral artery and vein. The method of trapping emboli in a filter in an external shunt appears effective.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aorta / pathology
  • Aorta / surgery
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortography
  • Blood Vessel Prosthesis Implantation / methods*
  • Endovascular Procedures / methods*
  • Humans
  • Male
  • Thromboembolism / prevention & control*
  • Treatment Outcome
  • Viscera / blood supply