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Long Term Monitoring of Thoracic Endovascular Aortic Aneurysm Repair Using Transcaval Aortic Access

Authors :
Quang Le
Behzad S. Farivar
Source :
Vascular and Endovascular Surgery. 56:718-722
Publication Year :
2022
Publisher :
SAGE Publications, 2022.

Abstract

Thoracic endovascular aortic repair (TEVAR) has reduced the morbidity and mortality associated with the treatment of thoracic aortic pathologies. However, TEVAR’s use is often predicated on sufficiently large femoral access for the delivery of the endograft device. Transcaval access, or the delivery of endovascular device via the vena cava before crossing into the aorta, has been used successfully for the deployment of transcatheter aortic valves. Our institution previously reported on a case of TEVAR using transcaval access. We now report on the long-term follow-up outcome of this case. At 6 years post-surgery, computed tomography angiography (CTA) indicates stable aortic repair without any concerning findings associated with the site of transcaval access into the aorta. The patient is clinically without signs of lower extremity vascular or cardiopulmonary compromise. Overall, transcaval access for TEVAR is a promising alternative to traditional femoral artery access in highly-select patients with the appropriate anatomical and pathological indications.

Details

ISSN :
19389116 and 15385744
Volume :
56
Database :
OpenAIRE
Journal :
Vascular and Endovascular Surgery
Accession number :
edsair.doi.dedup.....6b161e97dea82d9ac3497e4034bc465f
Full Text :
https://doi.org/10.1177/15385744221105357