Discover and read the best of Twitter Threads about #tevar
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1/n Basically, if there is an arch aneurysm and a descending aneurysm, it’s pretty hard to get exposure to fix both. So, if you leave an “elephant trunk” behind, it dangles into the descending aneurysm. On return for DTA repair,
First described by Hans Borst in 1983.
#AortaEd
First described by Hans Borst in 1983.
#AortaEd
2/n When it’s time to do the descending aorta via left thoracotomy, you can easily clamp the free floating elephant trunk, and stretch it down past the aneurysm. Once the distal anastomosis is sutured in place, the aneurysm is excluded. Simple.
#AortaEd #Aneurysm #dtaa #TAAD
#AortaEd #Aneurysm #dtaa #TAAD
3/n Of course, with this approach, the patient still needs two highly invasive open operations.
Enter #TEVAR, in the early 1990s. First pioneered by Mike Dake, Scott Mitchell, and Craig Miller @StanfordCTSurg in 1992, these home-brewed devices were quickly refined.
Enter #TEVAR, in the early 1990s. First pioneered by Mike Dake, Scott Mitchell, and Craig Miller @StanfordCTSurg in 1992, these home-brewed devices were quickly refined.
