Recently I like Approach® CTO for crossing Lesion

Approach® CTO
Microwire Guide



Sometime it cross the lesion Without any support.


-- 發送自我的 iPad

Iatrogenic coarctation of aorta

Last week I performed a aortic arch chimney procedure, for total aortic arch stentgrafting, but postoperative iatrogenic coarctation was noted in the next day, the pressure gradient between ascending aortic root and main stentgraft over distal ascending aorta was 50 mmHg,.

Initial I though the more ballooning may relief the condition, but the pressure gradient decrease to 30mmHg but graduately increasing to 50 mmHg.

So I decided to put another stentgraft to relief the stentgraft kinking.
Fortunately, the patient get dramatic improvement.


-- 發送自我的 iPad

Salmonella infection induced type1a endoleak

遲發性感染性動脈瘤 大支架術後的痛

Delay Salmonella infection induced thoracic aneurysm sac contained ruptured. Massive hemoptysis shock and respiratory failure were noted preoperatively.
Fortunately have chimney procedure, I can perform totally aortic arch reconstruction with endovascular repair without cardiaopulmonary bypass and finish operation within 2 hours.
And saved the critical patient.
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