Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Balloon-Supported Passage of a Stent-Graft into the Aortic Arch

  • Eun, Na Lae (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Lee, Dahye (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Song, Suk-Won (Department of Cardiothoracic Surgery, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Joo, Seung-Moon (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System) ;
  • Kolbel, Tilo (Department of Vascular Medicine, University Heart Center Hamburg, University Hospital Eppendorf) ;
  • Lee, Kwang-Hun (Department of Radiology, Gangnam Severance Hospital, Yonsei University Health System)
  • Received : 2014.09.26
  • Accepted : 2015.03.19
  • Published : 2015.08.01
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Abstract

A 62-year-old man was admitted, and thoracic endovascular aortic repair (TEVAR) procedure was performed to treat an accidentally detected aortic aneurysm, which was 63 mm in diameter. While performing TEVAR, the passage of the stent-graft introducer system was impossible due to the prolapse of the introducer system into a wide-necked aneurysm; this aneurysm was located at the greater curvature of the proximal descending thoracic aorta. In order to advance the introducer system, a compliant balloon was inflated. Thus, we created an artificial wall in the aneurysm with this inflated balloon. Finally, we were able to advance the introducer system into the target zone.

Keywords

References

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