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 journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)425-428
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume8
Issue number3
DOIs
StatePublished - Sep 2022

Keywords

  • Image fusion
  • TEVAR
  • Transcranial Doppler

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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