First implantation of Gore Hybrid Vascular Graft in the right vertebral artery for cerebral debranching in a patient with Loeys-Dietz syndrome.

Abstract:

:A 53-year-old woman with Loeys-Dietz syndrome developed progressive subclavian artery aneurysm and common carotid artery dissection. She was treated successfully by plugging and coiling of the subclavian aneurysm and its side branches after combined cervical debranching using standard carotid-axillary bypass and Gore Hybrid Vascular Graft for vertebral revascularization. Follow-up control (4 weeks) documented patent debranching, and only minimal residual flow in the subclavian aneurysm. The described off-label use for sutureless cerebral revascularisation of the vertebral artery might be a fast, simple, and reliable solution for cervical debranching in selective challenging patients. Further studies are necessary to evaluate side effects and durability.

journal_name

J Vasc Surg

authors

Wipper S,Ahlbrecht O,Kölbel T,Pflugradt A,von Kodolitsch Y,Debus ES

doi

10.1016/j.jvs.2013.09.031

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

793-5

issue

3

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(13)01734-5

journal_volume

61

pub_type

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