A Case of Thoracic Endovascular Aortic Repair Using Carotid Access with Axillary–Carotid Bypass for Descending Aortic Aneurysm in a Patient with Aortoiliac Occlusive Disease

Soichi Asano; Naoki Hayashida; Yusuke Shibata; Shintaro Koizumi; Takahiro Ito; Hiroki Ikeuchi; Hideomi Hasegawa; Shinichiro Abe; Masashi Kabasawa; Nobuyuki Hirose; Masanao Ohba; Masao Hirano; Kozo Matsuo; Hirokazu Murayama

doi:10.3400/avd.cr.18-00143

CASE REPORTS

A Case of Thoracic Endovascular Aortic Repair Using Carotid Access with Axillary–Carotid Bypass for Descending Aortic Aneurysm in a Patient with Aortoiliac Occlusive Disease

Soichi Asano , Naoki Hayashida, Yusuke Shibata, Shintaro Koizumi, Takahiro Ito, Hiroki Ikeuchi, Hideomi Hasegawa, Shinichiro Abe, Masashi Kabasawa, Nobuyuki Hirose, Masanao Ohba, Masao Hirano, Kozo Matsuo, Hirokazu Murayama

Author information

Soichi Asano Corresponding author
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Naoki Hayashida
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Yusuke Shibata
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Shintaro Koizumi
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Takahiro Ito
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Hiroki Ikeuchi
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Hideomi Hasegawa
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Shinichiro Abe
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Masashi Kabasawa
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Nobuyuki Hirose
Department of Surgery II, Kochi Medical School
Masanao Ohba
Department of Cardiovascular Surgery, Kawaguchi Municipal Medical Center
Masao Hirano
Department of Cardiovascular Surgery, National Hospital Organization Chiba Medical Center
Kozo Matsuo
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Hirokazu Murayama
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center

Keywords: antegrade thoracic endovascular aortic repair, left carotid artery access, axillary–carotid artery bypass

JOURNAL OPEN ACCESS

2019 Volume 12 Issue 1 Pages 105-108

DOI https://doi.org/10.3400/avd.cr.18-00143

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Details

Abstract

The authors report a 71-year-old male with descending thoracic aortic aneurysm and multiple risk factors (aortoiliac occlusive disease, obesity, ascending aorta dilatation, and history of left ventriculoperitoneal shunt for hydrocephalus) who was treated with thoracic endovascular aortic repair (TEVAR) via left common carotid artery (LCCA) access and left axillary–carotid artery (Ax–CA) bypass; this approach shortened the LCCA clamp time during the procedure. The patient was discharged without any complications. TEVAR via LCCA access with left Ax–CA bypass is a useful and safe procedure for patients in whom conventional femoral artery access is not feasible.

Corresponding author

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