Endovascular ascending aortic pseudoaneurysm repair under image fusion guidance and transcranial Doppler monitoring

Lauren A. Fitzgerald; Lamees I. El Nihum; Pauline M. Berens; Ponraj Chinnadurai; Zsolt Garami; Marvin D. Atkins

doi:10.1016/j.jvscit.2022.06.009

Endovascular ascending aortic pseudoaneurysm repair under image fusion guidance and transcranial Doppler monitoring

Lauren A. Fitzgerald, Lamees I. El Nihum, Pauline M. Berens, Ponraj Chinnadurai, Zsolt Garami, Marvin D. Atkins

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

We describe a 78-year-old woman with a large ascending aortic pseudoaneurysm who underwent thoracic endovascular aortic repair under intraoperative image fusion guidance and real-time transcranial Doppler (TCD) monitoring. TCD monitoring revealed a total of 419 microembolic signals throughout the procedure, with the majority occurring as the first stent graft crossed the ascending aorta. Two days later, she underwent endovascular repair of a graft type IA endoleak. We highlight the role of image fusion guidance and TCD monitoring in enabling successful thoracic endovascular aortic repair in an elderly woman and in identifying procedural areas of improvement to minimize stroke risk.

Original language	English (US)
Pages (from-to)	425-428
Number of pages	4
Journal	Journal of Vascular Surgery Cases and Innovative Techniques
Volume	8
Issue number	3
DOIs	https://doi.org/10.1016/j.jvscit.2022.06.009
State	Published - Sep 2022

Keywords

Image fusion
TEVAR
Transcranial Doppler

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvscit.2022.06.009

Cite this

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title = "Endovascular ascending aortic pseudoaneurysm repair under image fusion guidance and transcranial Doppler monitoring",

abstract = "We describe a 78-year-old woman with a large ascending aortic pseudoaneurysm who underwent thoracic endovascular aortic repair under intraoperative image fusion guidance and real-time transcranial Doppler (TCD) monitoring. TCD monitoring revealed a total of 419 microembolic signals throughout the procedure, with the majority occurring as the first stent graft crossed the ascending aorta. Two days later, she underwent endovascular repair of a graft type IA endoleak. We highlight the role of image fusion guidance and TCD monitoring in enabling successful thoracic endovascular aortic repair in an elderly woman and in identifying procedural areas of improvement to minimize stroke risk.",

keywords = "Image fusion, TEVAR, Transcranial Doppler",

author = "Fitzgerald, {Lauren A.} and {El Nihum}, {Lamees I.} and Berens, {Pauline M.} and Ponraj Chinnadurai and Zsolt Garami and Atkins, {Marvin D.}",

note = "Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: {\textcopyright} 2022 The Author(s)",

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language = "English (US)",

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AU - Fitzgerald, Lauren A.

AU - El Nihum, Lamees I.

AU - Berens, Pauline M.

AU - Chinnadurai, Ponraj

AU - Garami, Zsolt

AU - Atkins, Marvin D.

N1 - Funding Information: The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest. Publisher Copyright: © 2022 The Author(s)

PY - 2022/9

Y1 - 2022/9

N2 - We describe a 78-year-old woman with a large ascending aortic pseudoaneurysm who underwent thoracic endovascular aortic repair under intraoperative image fusion guidance and real-time transcranial Doppler (TCD) monitoring. TCD monitoring revealed a total of 419 microembolic signals throughout the procedure, with the majority occurring as the first stent graft crossed the ascending aorta. Two days later, she underwent endovascular repair of a graft type IA endoleak. We highlight the role of image fusion guidance and TCD monitoring in enabling successful thoracic endovascular aortic repair in an elderly woman and in identifying procedural areas of improvement to minimize stroke risk.

AB - We describe a 78-year-old woman with a large ascending aortic pseudoaneurysm who underwent thoracic endovascular aortic repair under intraoperative image fusion guidance and real-time transcranial Doppler (TCD) monitoring. TCD monitoring revealed a total of 419 microembolic signals throughout the procedure, with the majority occurring as the first stent graft crossed the ascending aorta. Two days later, she underwent endovascular repair of a graft type IA endoleak. We highlight the role of image fusion guidance and TCD monitoring in enabling successful thoracic endovascular aortic repair in an elderly woman and in identifying procedural areas of improvement to minimize stroke risk.

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KW - TEVAR

KW - Transcranial Doppler

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Endovascular ascending aortic pseudoaneurysm repair under image fusion guidance and transcranial Doppler monitoring

Abstract

Keywords

ASJC Scopus subject areas

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