{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:07:50Z","timestamp":1761059270116,"version":"3.38.0"},"reference-count":5,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2011,11,10]],"date-time":"2011-11-10T00:00:00Z","timestamp":1320883200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:p> The purpose of this paper is to describe the technique of transapical deployment of a thoracic endograft and to discuss the specifics of this access. The technique of endograft deployment through a transapical access is demonstrated in a patient with a symptomatic 14-cm aortic arch aneurysm. The 73-year-old patient, with concomitant chronic obstructive airway disease and cardiovascular disease, had been denied open surgery. Femoral artery access was deemed contraindicated because of a more distal concomitant type III thoracoabdominal aneurysm, borderline renal failure and heavily calcified iliac arteries. Bilateral iliac\u2013subclavian debranching and thoracic endografting via a combined transapical and left subclavian access successfully excluded the thoracic aortic aneurysm. The patient died within 24 hours postoperatively due to a massive myocardial infarction. In conclusion, transapical access for thoracic endograft delivery is feasible. Combined with complex debranching procedures in a challenging aneurysmal anatomy, it carries a high risk for periprocedural complications. <\/jats:p>","DOI":"10.1258\/vasc.2011.tn0017","type":"journal-article","created":{"date-parts":[[2011,12,12]],"date-time":"2011-12-12T14:28:43Z","timestamp":1323700123000},"page":"308-312","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Transapical access for thoracic endograft delivery"],"prefix":"10.1177","volume":"19","author":[{"given":"Tilo","family":"K\u00f6lbel","sequence":"first","affiliation":[{"name":"Department of Vascular Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Treede","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, University Heart Center, Universit\u00e4tskrankenhaus Hamburg Eppendorf, Martinistr. 52, 20246 Hamburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian William","family":"Carpenter","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"Diener","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axel","family":"Larena-Avellaneda","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eike Sebastian","family":"Debus","sequence":"additional","affiliation":[{"name":"Department of Vascular Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,11,10]]},"reference":[{"key":"bibr-VASC-02-11-TN-0017C1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.12.009"},{"key":"bibr-VASC-02-11-TN-0017C2","doi-asserted-by":"publisher","DOI":"10.1583\/09-2877.1"},{"key":"bibr-VASC-02-11-TN-0017C3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.12.068"},{"key":"bibr-VASC-02-11-TN-0017C4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.09.045"},{"key":"bibr-VASC-02-11-TN-0017C5","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.06.090"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/vasc.2011.tn0017","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/vasc.2011.tn0017","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/vasc.2011.tn0017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T07:03:45Z","timestamp":1740985425000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/vasc.2011.tn0017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,11,10]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["10.1258\/vasc.2011.tn0017"],"URL":"https:\/\/doi.org\/10.1258\/vasc.2011.tn0017","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"type":"print","value":"1708-5381"},{"type":"electronic","value":"1708-539X"}],"subject":[],"published":{"date-parts":[[2011,11,10]]}}}