Ascending Aorta Nose-Cone Loop Technique as Bail Out for Precise Branched Endovascular Aortic Arch Endograft Delivery Without Valve Re-Crossing.
Alessandro GrandiTilo KolbelFiona RohlffsDaour Yousef Al SarhanGiuseppe PanuccioPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2023)
Endovascular arch repair gains popularity as a valuable alternative, especially in patients considered unfit for open repair. A through-and-through (T&T) guidewire for endovascular arch repair with a landing zone in zone 0 according to Ishimaru is usually performed through the externalization of the femoral guidewire through a transapical access, but this may not always be feasible in frail patients. A right carotid-femoral though-and-through guidewire with a loop formation in the ascending aorta is proposed to achieve the support of a T&T wire to pass tortuous aortoiliac anatomies and access the ascending aorta without the need for aortic valve crossing.
Keyphrases
- aortic valve
- aortic dissection
- transcatheter aortic valve replacement
- end stage renal disease
- pulmonary artery
- transcatheter aortic valve implantation
- aortic stenosis
- ejection fraction
- newly diagnosed
- chronic kidney disease
- aortic valve replacement
- prognostic factors
- mitral valve
- transcription factor
- minimally invasive
- heart failure
- pulmonary arterial hypertension
- left ventricular