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Use of Suture-Mediated Closure Device in Percutaneous Direct Carotid Puncture During Chimney-Thoracic Endovascular Aortic Repair

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Abstract

Background

Insertion of a carotid chimney graft during thoracic endovascular aortic repair (Ch-TEVAR) is a recognized technique to extend the proximal landing zone into the aortic arch in the treatment of thoracic aortic disease. Conventional technique requires surgical exposure of the carotid artery for insertion of the carotid chimney graft.

Methodology

We describe our experience in the use of a suture-mediated closure device in percutaneous Ch-TEVAR in four patients.

Results

Successful hemostasis was achieved in all four patients. No complications related to the carotid puncture were recorded.

Conclusion

We conclude that using suture-mediated closure device for carotid closure appears feasible and deserves further studies as a potential alternative to conventional surgical approach.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore

    Gabriel Chan, Lawrence Hwee Han Quek & Uei Pua

  2. Department of General Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore, 308433, Singapore

    Glenn Leong Wei Tan

  3. Lee Kong Chian School of Medicine, Nanyang Technological University, 50 Nanyang Ave, Singapore, 639798, Singapore

    Glenn Leong Wei Tan

  4. Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Rd 119228, NUHS Tower Block, Level 11, Singapore, 117597, Singapore

    Uei Pua

Authors
  1. Gabriel Chan
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  2. Lawrence Hwee Han Quek
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  3. Glenn Leong Wei Tan
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  4. Uei Pua
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Corresponding author

Correspondence to Uei Pua.

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The authors have no conflict of interest to be disclosed.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Chan, G., Quek, L.H.H., Tan, G.L.W. et al. Use of Suture-Mediated Closure Device in Percutaneous Direct Carotid Puncture During Chimney-Thoracic Endovascular Aortic Repair. Cardiovasc Intervent Radiol 39, 1036–1039 (2016). https://doi.org/10.1007/s00270-016-1294-5

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  • DOI: https://doi.org/10.1007/s00270-016-1294-5

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