Selective cerebral extracorporeal circulation-enhanced total endovascular arch replacement using in situ fenestration

Evren Özçınar

doi:10.5606/tgkdc.dergisi.2024.26062

Evren Özçınar¹, Levent Yazıcıoğlu¹, Nur Dikmen¹, Oguzhan Durmaz², Aysegul Guven³, Mehmet Cahit Sarıcaoğlu¹, Fatma Akca¹, Altan Ada²

¹Department of Cardiovascular Surgery, Ankara University Faculty of Medicine, Ankara, Türkiye
²Department of Cardiovascular Surgery, Perfusion Unit, Ankara University Faculty of Medicine, Ankara, Türkiye
³Department of Anesthesiology and Reanimation, Ankara University Faculty of Medicine, Ankara, Türkiye

DOI : 10.5606/tgkdc.dergisi.2024.26062

In this article, we present a newly designed cerebral perfusion technique during the in situ fenestration procedure with three covered stent placement in an endovascular total aortic arch repair of a 68-year-old male patient. This technique enables the endovascular repair of the ascending aorta and aortic arch pathologies with commonly available thoracic aorta stent grafts in a safer and more effective manner.

Keywords : Aortic arch repair, cardiopulmonary baypas, cerebral perfusion, endovascular repair, in situ needle fenestration

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