Transesophageal Echocardiography Guided Partial Right Atrial Inflow Occlusion - A Case Study

Deployment of stent-grafts and other endovascular devices is a common technique for various vascular repair procedures. Induced, transient, periods of hypotension are essential to the precise deployment of a device as this minimizes displacement that can result from high pressure aortic flow. Partia...

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Bibliographic Details
Main Authors: Lucas Barboza (Author), Rob Tanzola (Author)
Format: Book
Published: CINQUILL Medical Publishers Inc., 2022-11-01T00:00:00Z.
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Summary:Deployment of stent-grafts and other endovascular devices is a common technique for various vascular repair procedures. Induced, transient, periods of hypotension are essential to the precise deployment of a device as this minimizes displacement that can result from high pressure aortic flow. Partial inflow occlusion of the right atrium is a reliable, precise, and safe method of achieving this. We present a case where intraoperative transesophageal echocardiography (TEE) was used to guide and confirm balloon placement for right atrium inflow occlusion during a thoracic endovascular aneurysm repair (TEVAR) procedure for repair of an aortic dissection in a 67 year old male. This highlights a novel use of TEE in the context of endovascular surgery, and showcases an alternative method of reliably achieving transient hypotension.
Item Description:10.24908/pocus.v7i2.15663
2369-8543