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Balloon-Supported Passage of a Stent-Graft into the Aortic Arch
은나래,이다혜,송석원,주승문,Tilo Kölbel,이광훈 대한영상의학회 2015 Korean Journal of Radiology Vol.16 No.4
A 62-year-old man was admitted, and thoracic endovascular aortic repair (TEVAR) procedure was performed to treat an accidentally detected aortic aneurysm, which was 63 mm in diameter. While performing TEVAR, the passage of the stentgraft introducer system was impossible due to the prolapse of the introducer system into a wide-necked aneurysm; this aneurysm was located at the greater curvature of the proximal descending thoracic aorta. In order to advance the introducer system, a compliant balloon was inflated. Thus, we created an artificial wall in the aneurysm with this inflated balloon. Finally, we were able to advance the introducer system into the target zone.