Endovascular Approaches to

Acute TAAA Aneurysms:

T-Branch Endograft
Stphan Haulon,
D. Fabre, S. Mussot, O. Mercier, D. Mitilian, E. Fadel
Centre de lAorte, Hpital Marie Lannelongue,
Universit Paris Sud, France
 Disclosures

Research support, Consulting

Cook Medical, GE Healthcare,
Bentley
Zenith t-Branch
T-Branch Endograft

Suitable for a wide range

of TAAA anatomy
Modular system
 34 mm

One size and configuration

202 mm

SMA Branch Celiac Branch

Diameter: 8 mm Diameter: 8 mm
Length: 18 mm Length: 21 mm
Distance from proximal end of graft Distance from proximal end of graft
to distal end of branch: 117 mm to distal end of branch: 99 mm
Clock: 12:00 Clock: 1:00

Right Renal Branch Left Renal Branch

Diameter: 6 mm Diameter: 6 mm
Length: 18 mm Length: 18 mm
Distance from proximal end of graft Distance from proximal end of graft
to distal end of branch: 135 mm to distal end of branch: 135 mm
Clock: 10:00 Clock: 3:00

18 mm
4
Immediate Treatment Options

Spiral-Z Leg Universal Distal Body t-Branch

Spiral-Z Leg

5
VIDEO
 Prevention of
Paraplegia/Paraperesis

Staged
procedures
Open Hypo and
LSA
Spinal drain
BP management
ETUDES MULTICENTRIQUE
EUROPEENNE

127 patients (85 men, 69.9 7.9 years)

Acute symptomatic (n=74) or contained
ruptured (n=53)
TAAA: I: n =10 (7.9%), II: n = 38
(29.9%), III: n = 40 (31.5%), IV: n = 35
(27.6%), V: n = 4 (3.1%).
 RESULTATS

Thirty-day mortality was 13.4% (n=17)

Spinal cord ischemia (SCI):

22 (17.3%) patients
5 (3.9%) with permanent paraplegia
CROSSE AORTIQUE
Endovascular Aortic Repair - Edited by Gustavo Oderich, Springer
Endovascular Aortic Repair - Edited by Gustavo Oderich, Springer
 Fusion model registration
Refined registration available at any time from table side with DSA Check

Direct benefit:
Helps keeping a precise registration even after aorta deformation
 Case example: 3 branch arch
Completion angiogram endograft
 CONCLUSIONS

Off the Shelf Endografts are an

option for acute
TAAA
Arch Aneurysms
Match long term outcomes of
Custom Made Devices?
High volume centers performing
both open and endovascular repairs