„Aortenbogen-Debranching“ mit Implantation von Stent-Prothesen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-10-11

AUTHORS

B. Zipfel, R. Hetzer

ABSTRACT

Endovascular repair of thoracic aortic disease requires implantation of stent grafts in the aortic arch to ensure secure anchoring and sealing in more than one third of cases. Occlusion of supra-aortic arteries is thus unavoidable. Debranching refers to the surgical transposition of supra-aortic arteries to safely extend the landing zone for stent grafts. After extending the occluded supra-aortic arteries the following surgical procedures are performed: extrathoracic carotid-subclavian bypass, subclavian-carotid transposition and carotid-carotid-subclavian bypass and intrathoracic double transposition of left subclavian and carotid arteries and complete debranching of all three supra-aortic arteries to the ascending aorta. The most important details of these surgical procedures as well as the special technical aspects of the implantation of stent grafts in the aortic arch in combination with debranching surgery are described. If the ascending aorta is exposed, antegrade implantation of the stent graft can avoid problems associated with the retrograde transfemoral route but this requires custom-made devices. More... »

PAGES

308-314

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00398-013-1021-3

DOI

http://dx.doi.org/10.1007/s00398-013-1021-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1033824335


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