Endovascular repair of distal arch aneurysm with double-chimney technique.

Samura, Makoto; Zempo, Nobuya; Ikeda, Yoshitaka; Hidaka, Masaaki; Kaneda, Yoshikazu; Suzuki, Kazuhiro; Tsuboi, Hidetoshi; Hamano, Kimikazu · Ann Thorac Surg · 2013

case_report · Level V

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Abstract

We report 2 cases of distal arch aneurysm treated by thoracic endovascular aneurysm repair (TEVAR) with the "double-chimney technique." This technique permitted the implantation of a thoracic stent graft in the ascending aorta over the arch branches while preserving perfusion of innominate and left common carotid arteries without debranching bypasses. The procedure is a feasible and less invasive treatment for distal arch aneurysm with a short proximal neck (<2 cm to the origin of the innominate artery) in patients at high risk when undergoing sternotomy and in emergent cases.

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