Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk

In recent years, a hybrid approach to the classic two-stage elephant trunk technique has come into favor for treatment of thoracic aortic dissection. During the first stage, inadvertent intraoperative placement of the elephant trunk into the false lumen can occur on rare occasions, resulting in unto...

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Main Authors: Julia Fayanne Chen, MD, Abeel Mangi, MD, Prashanth Vallabhajosyula, MD, Naiem Nassiri, MD
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428720301295
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spelling doaj-a4a3ff44f7f1435081519593f6e800ce2020-12-27T04:31:14ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-12-0164566570Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunkJulia Fayanne Chen, MD0Abeel Mangi, MD1Prashanth Vallabhajosyula, MD2Naiem Nassiri, MD3Division of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn; Aortic Institute at Yale New Haven Hospital, Yale University School of Medicine, New Haven, ConnDivision of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, ConnAortic Institute at Yale New Haven Hospital, Yale University School of Medicine, New Haven, Conn; Division of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, New Haven, ConnDivision of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn; Aortic Institute at Yale New Haven Hospital, Yale University School of Medicine, New Haven, Conn; Correspondence: Naiem Nassiri, MD, RPVI, Division of Vascular and Endovascular Surgery, Yale University School of Medicine, 330 Cedar St, Boardman 204, New Haven, CT 06520In recent years, a hybrid approach to the classic two-stage elephant trunk technique has come into favor for treatment of thoracic aortic dissection. During the first stage, inadvertent intraoperative placement of the elephant trunk into the false lumen can occur on rare occasions, resulting in untoward difficulties during the second stage of the procedure. We describe here a snare-assisted technique for endovascular salvage of an elephant trunk that had inadvertently been placed in the false lumen of a chronic aortic dissection.http://www.sciencedirect.com/science/article/pii/S2468428720301295Aortic dissectionTEVARFalse lumenElephant trunkSnare
collection DOAJ
language English
format Article
sources DOAJ
author Julia Fayanne Chen, MD
Abeel Mangi, MD
Prashanth Vallabhajosyula, MD
Naiem Nassiri, MD
spellingShingle Julia Fayanne Chen, MD
Abeel Mangi, MD
Prashanth Vallabhajosyula, MD
Naiem Nassiri, MD
Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk
Journal of Vascular Surgery Cases and Innovative Techniques
Aortic dissection
TEVAR
False lumen
Elephant trunk
Snare
author_facet Julia Fayanne Chen, MD
Abeel Mangi, MD
Prashanth Vallabhajosyula, MD
Naiem Nassiri, MD
author_sort Julia Fayanne Chen, MD
title Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk
title_short Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk
title_full Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk
title_fullStr Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk
title_full_unstemmed Snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk
title_sort snare-assisted thoracic endovascular aortic repair for redirection of a false lumen elephant trunk
publisher Elsevier
series Journal of Vascular Surgery Cases and Innovative Techniques
issn 2468-4287
publishDate 2020-12-01
description In recent years, a hybrid approach to the classic two-stage elephant trunk technique has come into favor for treatment of thoracic aortic dissection. During the first stage, inadvertent intraoperative placement of the elephant trunk into the false lumen can occur on rare occasions, resulting in untoward difficulties during the second stage of the procedure. We describe here a snare-assisted technique for endovascular salvage of an elephant trunk that had inadvertently been placed in the false lumen of a chronic aortic dissection.
topic Aortic dissection
TEVAR
False lumen
Elephant trunk
Snare
url http://www.sciencedirect.com/science/article/pii/S2468428720301295
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