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Publikasi Scopus 2024 per tanggal 31 Maret 2024 (233 artikel)
Publikasi Scopus 2024 per tanggal 31 Maret 2024 (233 artikel)
Taofan, Taofan (57644267700); Adiarto, Suko (8603606800); Dakota, Iwan (55796663700); Indriani, Suci (57213831064); Afandy, Jonathan Edbert (57458857800); Kartamihardja, Achmad Hafiedz Azis (57271866200); Kang, Sung-Gwon (58922369000); Sukmawan, Renan (8651025300)
Endovascular management of aortic aneurysm with severe neck angulation and/or iliac artery tortuosity using multiple stiff wire technique: a case series
2024
F1000Research
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-85186893464&doi=10.12688%2ff1000research.140435.2&partnerID=40&md5=ce9bd379856165383fa35e95f995f8e2
Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia; Departement of Cardiology and Vascular Medicine, Faculty of Medicine, Padjadjaran University, Hasan Sadikin General Hospital, Bandung, Indonesia; Department of Radiology, Chosun University, Gwangju-Si, Gwangju-Si, South Korea
Background: Suitable aortic neck is one of the essential components for thoracic endovascular aortic repair (TEVAR) and endovascular aortic repair (EVAR). Advanced techniques were developed to adjust and compromise the aneurysm neck angulation but with adding additional devices and complexity to the procedure. We proposed a simple technique to modify severe neck angulation and/or iliac artery tortuosity by using the multiple stiff wire (MSW) technique. Method: Two femoral accesses were required for the MSW technique. A guidewire with a support catheter was inserted through the right and left femoral arteries and positioned in the abdominal or thoracic aorta. Wire exchanges were done with extra stiff wire in both femoral accesses. It can be considered to add multiple stiff wires to align the torturous neck / iliac artery. Delivery of the stent graft main body can be done via one of the accesses. Result: Six patients with different aortic pathology were admitted to our hospital. Four patients undergo EVAR procedure and two patients undergo TEVAR procedure. All patients had aortic neck angulation problems with one patient having iliac artery tortuosity. MSW technique was performed on the patients with good results. Follow-up CTA after 3 months revealed a good stent position without stent migration and no endoleak was found in all but one patient. Conclusion: MSW technique is a simple and effective technique to modify aortic neck/iliac artery angulation in TEVAR or EVAR procedure. Copyright: © 2024 Taofan T et al.
Aortic Aneurysm; Catheters; Endovascular Procedures; Humans; Iliac Artery; Research; adult; aged; aortic aneurysm; artery disease; Article; clinical article; common iliac artery; computed tomographic angiography; endovascular aneurysm repair; endovascular surgery; epigastric pain; female; follow up; human; iliac artery tortuosity; male; middle aged; multiple stiff wire technique; preoperative care; severe neck angulation; thorax pain; vascular access; vascular disease; vascular surgery; very elderly; aortic aneurysm; iliac artery; research; surgery
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