A Case of Zone 1 TEVAR Using Periscope Sandwich Technique to Avoid 2 Debranching

Abstract

In thoracic endovascular aortic repair (TEVAR) for aortic arch aneurysm, preserving the neck vessels are important and many techniques are exist. In this case, the patient was 81-year-old man who had large aortic arch saccular aneurysm. The patient was very thin (BMI 15.6) and artificial vessel infection was feared when we performed 2 debranching TEVAR. Therefore, we performed zone 1 TEVAR with periscope sandwich technique for left subclavian artery reconstruction. The postoperative course was uneventful. Postoperative CT showed no endoleak and sac regression and bypass patency. Although the long term prognosis remains unclear, this method could be a feasible treatment for aortic arch aneurysm.