Aortic Arch Angiogram was done using 5F Pigtail from
left femoral artery. (Figure
1, Figure
2, Figure
3). Right femoral arteriotomy was performed and Amplatz Extra stiff
guide wire was placed in ascending thoracic aorta with 12F Reliant Stent
Graft Balloon Catheter (Figure
4, Figure
5). After repeat arch angiogram and measurements, Medtronic Talent 34
x 130mm Stent Graft was positioned just distal to left common carotid artery
origin (Figure
6, Figure
7, Figure
8). In view of the arch position of the aneurysm, the positioning of
the stent graft was technically challenging. The positions of proximal and
distal marker were confirmed with arch angiogram and stent graft released
at the position covering the aneurysm and post dilated with Medtronic Reliant
40 x 46mm balloon (Figure
9). Repeat angiogram showed no flow in the aneurysm (Figure
10, Figure
11, Figure
12). |
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