Transesophageal echo-guided endovascular exclusion of thoracic aortic mobile thrombi Enrique Criado, MD, Phillip Wall, MD, Paul Lucas, MD, Antonios Gasparis,

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Presentation transcript:

Transesophageal echo-guided endovascular exclusion of thoracic aortic mobile thrombi Enrique Criado, MD, Phillip Wall, MD, Paul Lucas, MD, Antonios Gasparis, MD, Trent Proffit, MD, John Ricotta, MD Journal of Vascular Surgery Volume 39, Issue 1, Pages 238-242 (January 2004) DOI: 10.1016/j.jvs.2003.07.017

Fig 1 A, CT scan demonstrates superior mesenteric artery thombus (long arrow) and extensive left renal infarct. B, Angiogram shows superior mesenteric artery occlusion distal to middle colic artery. C, Angiogram depicts vascular defect in lower pole of left kidney. Journal of Vascular Surgery 2004 39, 238-242DOI: (10.1016/j.jvs.2003.07.017)

Fig 2 Transesophageal echogram demonstrates large free-floating thrombi in descending thoracic aorta in transverse (top) and longitudinal (bottom) views. Journal of Vascular Surgery 2004 39, 238-242DOI: (10.1016/j.jvs.2003.07.017)

Fig 3 Periprocedural transverse transesophageal echogram demonstrates undeployed stent graft in center of thoracic aortic lumen (left), and expanded stent graft apposed to aortic wall after deployment (right). Journal of Vascular Surgery 2004 39, 238-242DOI: (10.1016/j.jvs.2003.07.017)

Fig 4 Left, Completion fluoroscopic scan shows two Palmaz stents contouring descending thoracic aorta, and demonstrates how transesophageal probe can be used to guide positioning of stent graft with simultaneous use of fluoroscopy. Right, Completion angiogram after deployment of stent graft. Journal of Vascular Surgery 2004 39, 238-242DOI: (10.1016/j.jvs.2003.07.017)