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“Cracking and Paving”: A Novel Technique to Deliver a Thoracic Endograft Despite Ilio‐Femoral Occlusive Disease
Author(s) -
Kpodonu Jacques,
RodriguezLopez Julio A.,
Ramaiah Venkatesh G.,
Diethrich Edward B.
Publication year - 2009
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2009.00817.x
Subject(s) - medicine , surgery , balloon , radiology , thoracic outlet , thoracic aortic aneurysm , angioplasty , endovascular treatment , aneurysm , aortic aneurysm , thoracic outlet syndrome
Background: The use of endoluminal grafts to treat thoracic aortic aneurysms has been associated with a decreased morbidity and mortality compared with open thoracic aortic aneurysm repair. High‐risk surgical patients with ilio‐femoral occlusive disease may not be amenable to general anesthesia and the construction of a retroperitoneal conduit. Methods and Results: We report the use of a novel technique consisting of cracking and paving of the ilio‐femoral vessels with balloon angioplasty, followed by deployment of an endoconduit to deliver an endoluminal graft under local sedation to treat a high‐risk 80‐year‐old patient with a thoracic aneurysm. Conclusion: High‐risk surgical patients with iliofemoral disease can undergo endoluminal graft therapy to threat thoracic aortic aneurysms.