Double preloaded internal up-and-over technique for total transfemoral four vessel thoracoabdominal multibranch endoprosthesis with temporary aortic balloon occlusion for ruptured complex abdominal aortic aneurysm

Double preloaded internal up-and-over technique for total transfemoral four vessel thoracoabdominal multibranch endoprosthesis with temporary aortic balloon occlusion for ruptured complex abdominal aortic aneurysm

The thoracoabdominal multibranch endoprosthesis (TAMBE) is the first off-the-shelf, four-vessel branched endograft to obtain US Food and Drug Administration commercial approval for the treatment of complex abdominal and thoracoabdominal aortic aneurysms. Total transfemoral TAMBE approaches, previous...

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Bibliographic Details
Main Authors: Sukgu M. Han, MD, MS, Imani McElroy, MD, Gustavo S. Oderich, MD
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Ruptured complex abdominal aortic aneurysms
Thoracoabdominal aortic aneurysm
Fenestrated-branched endovascular aortic repair
Off-the-shelf multi-branched stent grafts
Thoracoabdominal multibranched endoprosthesis (TAMBE)
Total transfemoral branched EVAR
Online Access:http://www.sciencedirect.com/science/article/pii/S246842872500019X
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Summary:The thoracoabdominal multibranch endoprosthesis (TAMBE) is the first off-the-shelf, four-vessel branched endograft to obtain US Food and Drug Administration commercial approval for the treatment of complex abdominal and thoracoabdominal aortic aneurysms. Total transfemoral TAMBE approaches, previously described, may benefit patients with challenging aortic arch anatomy. This report presents a further refinement of the internal up-and-over total transfemoral TAMBE technique with temporary aortic balloon occlusion, applied in the setting of a ruptured pararenal abdominal aortic aneurysm.
ISSN:2468-4287

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