Two-vessel branched stent graft for severely angulated aortic arch aneurysm in a Jehovah's Witness

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Title: Two-vessel branched stent graft for severely angulated aortic arch aneurysm in a Jehovah's Witness
Authors: Lim, CS
Dhutia, A
Riga, C
Dharmadasa, A
Gibbs, RGJ
Hamady, MS
Item Type: Journal Article
Abstract: Aneurysmal disease involving the origins of supra aortic vessels often requires complex open and/or endovascular repair that is not only associated with significant risk of mortality and morbidity but also often with perioperative blood loss requiring transfusion. We report a successful repair of a large thoracic aortic aneurysm (TAA) involving the aortic arch with a custom-made Bolton Relay 2-vessel branched thoracic aortic endograft in a 42-year-old Jehovah’s Witness who would otherwise be very unlikely to survive an open repair. Branched thoracic aortic endografting offers a potentially safe, minimally invasive, and effective alternative for TAA disease involving the supra-aortic arteries, especially in patients who are at high risk of open surgery.
Issue Date: 1-Feb-2018
Date of Acceptance: 13-Jun-2017
URI: http://hdl.handle.net/10044/1/62745
DOI: https://dx.doi.org/10.1177/1538574417747426
ISSN: 1538-5744
Publisher: SAGE Publications
Start Page: 154
End Page: 158
Journal / Book Title: Vascular and Endovascular Surgery
Volume: 52
Issue: 2
Copyright Statement: © The Author(s) 2017. The final, definitive version of this paper has been published in Vascular and Endovascular Surgery by Sage Publications Ltd. All rights reserved. It is available at: http://journals.sagepub.com/doi/10.1177/1538574417747426
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Funder's Grant Number: RDB04 79560
RD207
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
Peripheral Vascular Disease
Cardiovascular System & Cardiology
arch aneurysm
branched stent graft
thoracic aorta
aneurysm
endovascular repair
TEVAR
DISSECTION
REPAIR
Adult
Angiography, Digital Subtraction
Aortic Aneurysm, Thoracic
Aortography
Blood Loss, Surgical
Blood Transfusion
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Computed Tomography Angiography
Endovascular Procedures
Humans
Jehovah's Witnesses
Male
Prosthesis Design
Religion and Medicine
Stents
Treatment Outcome
Treatment Refusal
Cardiovascular System & Hematology
Publication Status: Published
Online Publication Date: 2018-01-10
Appears in Collections:Division of Surgery
Faculty of Medicine



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