Double-Barreled and Branched Endografting for Thoracoabdominal Aortic Aneurysm: The Hexapus Technique

Hsu Ting Yen, Chun Che Shih, I. Ming Chen

Research output: Contribution to journalArticle

Abstract

Objective: To treat thoracoabdominal aortic aneurysm (TAAA), we introduced an alternative “Hexapus” technique by double-barreled and branched endografting. Technique and Result: We established 2 transfemoral and 2 transaxillary access routes first and then deployed two abdominal bifurcated stentgrafts landing at the descending thoracic aorta through transfemoral routes, respectively. Two pairs of parallel stentgrafts were deployed via bilateral transaxillary route from each of contralateral limbs of main body stentgrafts to visceral arteries. Finally, we extended the ipsilateral limbs of main body stentgrafts to bilateral common iliac arteries as distal landings. The creation of six branches (four viscerals and two iliacs) resembles a hexapus. We have executed this Hexapus technique in three patients, and the final angiography during operation and postoperative 12-month image follow-up showed patent visceral branches and no any endoleaks. Conclusion: Our Hexapus technique is feasible in treating TAAA if patient is inoperable or no commercial fenestrated or branched stentgraft is available.

Original languageEnglish
Pages (from-to)455-459
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume42
Issue number3
DOIs
Publication statusPublished - Mar 15 2019
Externally publishedYes

Fingerprint

Thoracic Aortic Aneurysm
Thoracic Aorta
Extremities
Endoleak
Iliac Artery
Angiography
Arteries

Keywords

  • Double-barreled
  • Endovascular aortic repair
  • Hexapus
  • Stentgraft
  • Thoracoabdominal aortic aneurysm

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Double-Barreled and Branched Endografting for Thoracoabdominal Aortic Aneurysm : The Hexapus Technique. / Yen, Hsu Ting; Shih, Chun Che; Chen, I. Ming.

In: CardioVascular and Interventional Radiology, Vol. 42, No. 3, 15.03.2019, p. 455-459.

Research output: Contribution to journalArticle

@article{5f5fedd9661e4fffa2d64e621867636e,
title = "Double-Barreled and Branched Endografting for Thoracoabdominal Aortic Aneurysm: The Hexapus Technique",
abstract = "Objective: To treat thoracoabdominal aortic aneurysm (TAAA), we introduced an alternative “Hexapus” technique by double-barreled and branched endografting. Technique and Result: We established 2 transfemoral and 2 transaxillary access routes first and then deployed two abdominal bifurcated stentgrafts landing at the descending thoracic aorta through transfemoral routes, respectively. Two pairs of parallel stentgrafts were deployed via bilateral transaxillary route from each of contralateral limbs of main body stentgrafts to visceral arteries. Finally, we extended the ipsilateral limbs of main body stentgrafts to bilateral common iliac arteries as distal landings. The creation of six branches (four viscerals and two iliacs) resembles a hexapus. We have executed this Hexapus technique in three patients, and the final angiography during operation and postoperative 12-month image follow-up showed patent visceral branches and no any endoleaks. Conclusion: Our Hexapus technique is feasible in treating TAAA if patient is inoperable or no commercial fenestrated or branched stentgraft is available.",
keywords = "Double-barreled, Endovascular aortic repair, Hexapus, Stentgraft, Thoracoabdominal aortic aneurysm",
author = "Yen, {Hsu Ting} and Shih, {Chun Che} and Chen, {I. Ming}",
year = "2019",
month = "3",
day = "15",
doi = "10.1007/s00270-018-2139-1",
language = "English",
volume = "42",
pages = "455--459",
journal = "CardioVascular and Interventional Radiology",
issn = "7415-5101",
publisher = "Springer Verlag",
number = "3",

}

TY - JOUR

T1 - Double-Barreled and Branched Endografting for Thoracoabdominal Aortic Aneurysm

T2 - The Hexapus Technique

AU - Yen, Hsu Ting

AU - Shih, Chun Che

AU - Chen, I. Ming

PY - 2019/3/15

Y1 - 2019/3/15

N2 - Objective: To treat thoracoabdominal aortic aneurysm (TAAA), we introduced an alternative “Hexapus” technique by double-barreled and branched endografting. Technique and Result: We established 2 transfemoral and 2 transaxillary access routes first and then deployed two abdominal bifurcated stentgrafts landing at the descending thoracic aorta through transfemoral routes, respectively. Two pairs of parallel stentgrafts were deployed via bilateral transaxillary route from each of contralateral limbs of main body stentgrafts to visceral arteries. Finally, we extended the ipsilateral limbs of main body stentgrafts to bilateral common iliac arteries as distal landings. The creation of six branches (four viscerals and two iliacs) resembles a hexapus. We have executed this Hexapus technique in three patients, and the final angiography during operation and postoperative 12-month image follow-up showed patent visceral branches and no any endoleaks. Conclusion: Our Hexapus technique is feasible in treating TAAA if patient is inoperable or no commercial fenestrated or branched stentgraft is available.

AB - Objective: To treat thoracoabdominal aortic aneurysm (TAAA), we introduced an alternative “Hexapus” technique by double-barreled and branched endografting. Technique and Result: We established 2 transfemoral and 2 transaxillary access routes first and then deployed two abdominal bifurcated stentgrafts landing at the descending thoracic aorta through transfemoral routes, respectively. Two pairs of parallel stentgrafts were deployed via bilateral transaxillary route from each of contralateral limbs of main body stentgrafts to visceral arteries. Finally, we extended the ipsilateral limbs of main body stentgrafts to bilateral common iliac arteries as distal landings. The creation of six branches (four viscerals and two iliacs) resembles a hexapus. We have executed this Hexapus technique in three patients, and the final angiography during operation and postoperative 12-month image follow-up showed patent visceral branches and no any endoleaks. Conclusion: Our Hexapus technique is feasible in treating TAAA if patient is inoperable or no commercial fenestrated or branched stentgraft is available.

KW - Double-barreled

KW - Endovascular aortic repair

KW - Hexapus

KW - Stentgraft

KW - Thoracoabdominal aortic aneurysm

UR - http://www.scopus.com/inward/record.url?scp=85058056798&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058056798&partnerID=8YFLogxK

U2 - 10.1007/s00270-018-2139-1

DO - 10.1007/s00270-018-2139-1

M3 - Article

C2 - 30523387

AN - SCOPUS:85058056798

VL - 42

SP - 455

EP - 459

JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

SN - 7415-5101

IS - 3

ER -