TY - JOUR
T1 - Intraoperative cone beam computed tomography-guided endovascular recanalization of an interrupted aorta
AU - Auyang, Philip L.
AU - Chinnadurai, Ponraj
AU - MacGillivray, Thomas
AU - Lumsden, Alan B.
AU - Breinholt, John P.
AU - Lin, C. Huie
N1 - Publisher Copyright:
© 2018 Society for Vascular Surgery
PY - 2018/4
Y1 - 2018/4
N2 - A 42-year-old man sustained a stroke secondary to malignant hypertension and was found to have complete aortic interruption. We report a case of real-time image-guided endovascular repair to highlight the value of preprocedural planning and intraprocedural cone beam computed tomography. Two-dimensional fluoroscopy enhanced with three-dimensional landmarks from cone beam computed tomography was used to direct a Nykanen radiofrequency wire (Baylis Medical, Montreal, Quebec, Canada) through the interruption, avoiding critical adjacent structures. A covered Cheatham-Platinum stent (NuMED, Inc, Hopkinton, NY) was deployed successfully, recanalizing the thoracic aorta. The pressure gradient normalized, and the patient was discharged on postoperative day 1. At 10-month follow-up, the patient was on an antihypertensive regimen of two minimum-dose drugs.
AB - A 42-year-old man sustained a stroke secondary to malignant hypertension and was found to have complete aortic interruption. We report a case of real-time image-guided endovascular repair to highlight the value of preprocedural planning and intraprocedural cone beam computed tomography. Two-dimensional fluoroscopy enhanced with three-dimensional landmarks from cone beam computed tomography was used to direct a Nykanen radiofrequency wire (Baylis Medical, Montreal, Quebec, Canada) through the interruption, avoiding critical adjacent structures. A covered Cheatham-Platinum stent (NuMED, Inc, Hopkinton, NY) was deployed successfully, recanalizing the thoracic aorta. The pressure gradient normalized, and the patient was discharged on postoperative day 1. At 10-month follow-up, the patient was on an antihypertensive regimen of two minimum-dose drugs.
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U2 - 10.1016/j.jvs.2017.11.072
DO - 10.1016/j.jvs.2017.11.072
M3 - Article
C2 - 29463459
AN - SCOPUS:85042105088
SN - 0741-5214
VL - 67
SP - 1292
EP - 1296
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 4
ER -