Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair

An externalized transapical guidewire (ETAG) technique has been used for safe delivery of high-profile devices through a tortuous aorta to zone 0, which is currently precluded after mechanical artificial aortic valve replacement (AVR). The aim of the study was to report one center’s experience (base...

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Autores principales:	Tomasz Jędrzejczak, Paweł Rynio, Maciej Lewandowski, Arkadiusz Kazimierczak
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2020
Materias:	artificial aortic valve replacement externalized transapical guidewire technique physician-modified endograft thoracic endovascular aortic repair Medicine R
Acceso en línea:	https://doaj.org/article/dbde3d8b5eff4d8d9ba2b6f8a9fb3431
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spelling	oai:doaj.org-article:dbde3d8b5eff4d8d9ba2b6f8a9fb34312021-12-02T18:55:06ZExternalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair1895-45882299-005410.5114/wiitm.2020.93987https://doaj.org/article/dbde3d8b5eff4d8d9ba2b6f8a9fb34312020-03-01T00:00:00Zhttps://www.termedia.pl/Externalized-transapical-guidewire-technique-after-artificial-aortic-valve-replacement-during-complete-endovascular-aortic-arch-repair,42,40212,1,1.htmlhttps://doaj.org/toc/1895-4588https://doaj.org/toc/2299-0054An externalized transapical guidewire (ETAG) technique has been used for safe delivery of high-profile devices through a tortuous aorta to zone 0, which is currently precluded after mechanical artificial aortic valve replacement (AVR). The aim of the study was to report one center’s experience (based on 3 cases) of a unique modification to the ETAG technique used for the first time during total endovascular aortic arch repair after AVR. This report contains technical notes regarding a new method of steering the guidewire from the apex inside the artificial aortic valve during total endovascular aortic arch repair after AVR and the details crucial in preparation for this mini-invasive procedure. As a conclusion, the ETAG technique could be performed after mechanical AVR with active positioning of the guidewire carried out under the control of transesophageal echocardiography.Tomasz JędrzejczakPaweł RynioMaciej LewandowskiArkadiusz KazimierczakTermedia Publishing Housearticleartificial aortic valve replacement externalized transapical guidewire technique physician-modified endograft thoracic endovascular aortic repairMedicineRENVideosurgery and Other Miniinvasive Techniques, Vol 16, Iss 1, Pp 227-233 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	artificial aortic valve replacement externalized transapical guidewire technique physician-modified endograft thoracic endovascular aortic repair Medicine R
spellingShingle	artificial aortic valve replacement externalized transapical guidewire technique physician-modified endograft thoracic endovascular aortic repair Medicine R Tomasz Jędrzejczak Paweł Rynio Maciej Lewandowski Arkadiusz Kazimierczak Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair
description	An externalized transapical guidewire (ETAG) technique has been used for safe delivery of high-profile devices through a tortuous aorta to zone 0, which is currently precluded after mechanical artificial aortic valve replacement (AVR). The aim of the study was to report one center’s experience (based on 3 cases) of a unique modification to the ETAG technique used for the first time during total endovascular aortic arch repair after AVR. This report contains technical notes regarding a new method of steering the guidewire from the apex inside the artificial aortic valve during total endovascular aortic arch repair after AVR and the details crucial in preparation for this mini-invasive procedure. As a conclusion, the ETAG technique could be performed after mechanical AVR with active positioning of the guidewire carried out under the control of transesophageal echocardiography.
format	article
author	Tomasz Jędrzejczak Paweł Rynio Maciej Lewandowski Arkadiusz Kazimierczak
author_facet	Tomasz Jędrzejczak Paweł Rynio Maciej Lewandowski Arkadiusz Kazimierczak
author_sort	Tomasz Jędrzejczak
title	Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair
title_short	Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair
title_full	Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair
title_fullStr	Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair
title_full_unstemmed	Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair
title_sort	externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair
publisher	Termedia Publishing House
publishDate	2020
url	https://doaj.org/article/dbde3d8b5eff4d8d9ba2b6f8a9fb3431
work_keys_str_mv	AT tomaszjedrzejczak externalizedtransapicalguidewiretechniqueafterartificialaorticvalvereplacementduringcompleteendovascularaorticarchrepair AT pawełrynio externalizedtransapicalguidewiretechniqueafterartificialaorticvalvereplacementduringcompleteendovascularaorticarchrepair AT maciejlewandowski externalizedtransapicalguidewiretechniqueafterartificialaorticvalvereplacementduringcompleteendovascularaorticarchrepair AT arkadiuszkazimierczak externalizedtransapicalguidewiretechniqueafterartificialaorticvalvereplacementduringcompleteendovascularaorticarchrepair
_version_	1718377356957057024

Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair

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