A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm  A. Claire Watkins, MD, MS, Alla Avramenko, MD, Raphael.

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A novel all-retrograde approach for t-Branch implantation in ruptured thoracoabdominal aneurysm  A. Claire Watkins, MD, MS, Alla Avramenko, MD, Raphael Soler, MD, Dominique Fabre, MD, PhD, Stephan Haulon, MD, PhD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 4, Issue 4, Pages 301-304 (December 2018) DOI: 10.1016/j.jvscit.2018.09.002 Copyright © 2018 The Author(s) Terms and Conditions

Fig 1 Preoperative computed tomography (CT) of ruptured thoracoabdominal aortic aneurysm (TAAA). A, Three-dimensional volume rendering. B, Hemothorax. C, Posterior rupture. D, TAAA. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 301-304DOI: (10.1016/j.jvscit.2018.09.002) Copyright © 2018 The Author(s) Terms and Conditions

Fig 2 Transfemoral t-Branch procedure. A, Side-branch and target vessel cannulation and stenting aided by image fusion and steerable sheath. B, Selective side-branch angiography. C, Completion noncontrast-enhanced cone beam computed tomography (CT). Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 301-304DOI: (10.1016/j.jvscit.2018.09.002) Copyright © 2018 The Author(s) Terms and Conditions

Fig 3 Computed tomography (CT) scan done on postoperative day 3 (POD 3) demonstrating aneurysm exclusion, patent side-branch vessels, and no endoleak. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 301-304DOI: (10.1016/j.jvscit.2018.09.002) Copyright © 2018 The Author(s) Terms and Conditions