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"Cracking and paving": a novel technique to deliver a thoracic endograft despite ilio-femoral occlusive disease.

Research paper by Jacques J Kpodonu, Julio A JA Rodriguez-Lopez, Venkatesh G VG Ramaiah, Edward B EB Diethrich

Indexed on: 10 Mar '09Published on: 10 Mar '09Published in: Journal of Cardiac Surgery



Abstract

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.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.High-risk surgical patients with iliofemoral disease can undergo endoluminal graft therapy to threat thoracic aortic aneurysms.