ArticleJournal of vascular surgery cases and innovative techniques2026
Total transfemoral repair of thoracoabdominal aortic aneurysm and aortic dissection.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We present the case of a 66-year-old man with chronic type A aortic dissection and paravisceral aneurysmal degeneration who underwent successful endovascular repair using the thoracoabdominal multibranch endoprosthesis. Owing to a prior carotid-subclavian bypass, we elected a total transfemoral approach to avoid upper extremity access. A transcatheter electrosurgical septotomy was performed to establish controlled communication between the true and false lumens, facilitating endograft delivery. All visceral branches were stented via dual-sheath telescoping technique. A completion angiography showed no endoleak. This case demonstrates the feasibility of total transfemoral thoracoabdominal multibranch endoprosthesis deployment in complex anatomy while preserving branch vessel perfusion.
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