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A, Preoperative computed tomography angiography with complex residual flap localized to the aortic arch and brachiocephalic artery ( BCA ), extending into the right common carotid artery. B, Three-dimensional reconstruction demonstrating false lumen compression of the BCA base ( white arrow ) with false lumen flow into the right common carotid. C, Postbranched arch thoracic <t>endovascular</t> aneurysm repair with bridging stent into BCA and separate right common carotid stent.
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A, Preoperative computed tomography angiography with complex residual flap localized to the aortic arch and brachiocephalic artery ( BCA ), extending into the right common carotid artery. B, Three-dimensional reconstruction demonstrating false lumen compression of the BCA base ( white arrow ) with false lumen flow into the right common carotid. C, Postbranched arch thoracic <t>endovascular</t> aneurysm repair with bridging stent into BCA and separate right common carotid stent.
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rat aortic aneurysm model  (Dawley Inc)
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A, Preoperative computed tomography angiography with complex residual flap localized to the aortic arch and brachiocephalic artery ( BCA ), extending into the right common carotid artery. B, Three-dimensional reconstruction demonstrating false lumen compression of the BCA base ( white arrow ) with false lumen flow into the right common carotid. C, Postbranched arch thoracic <t>endovascular</t> aneurysm repair with bridging stent into BCA and separate right common carotid stent.
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rat aneurysm model  (Dawley Inc)
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Dawley Inc rat aneurysm model
A, Preoperative computed tomography angiography with complex residual flap localized to the aortic arch and brachiocephalic artery ( BCA ), extending into the right common carotid artery. B, Three-dimensional reconstruction demonstrating false lumen compression of the BCA base ( white arrow ) with false lumen flow into the right common carotid. C, Postbranched arch thoracic <t>endovascular</t> aneurysm repair with bridging stent into BCA and separate right common carotid stent.
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A, Preoperative computed tomography angiography with complex residual flap localized to the aortic arch and brachiocephalic artery ( BCA ), extending into the right common carotid artery. B, Three-dimensional reconstruction demonstrating false lumen compression of the BCA base ( white arrow ) with false lumen flow into the right common carotid. C, Postbranched arch thoracic endovascular aneurysm repair with bridging stent into BCA and separate right common carotid stent.

Journal: JTCVS Structural and Endovascular

Article Title: Branched endovascular aortic arch repair to treat intermittent cerebral malperfusion syndromes after type A aortic dissection repair

doi: 10.1016/j.xjse.2026.100112

Figure Lengend Snippet: A, Preoperative computed tomography angiography with complex residual flap localized to the aortic arch and brachiocephalic artery ( BCA ), extending into the right common carotid artery. B, Three-dimensional reconstruction demonstrating false lumen compression of the BCA base ( white arrow ) with false lumen flow into the right common carotid. C, Postbranched arch thoracic endovascular aneurysm repair with bridging stent into BCA and separate right common carotid stent.

Article Snippet: Subsequently, a custom, branched arch thoracic endovascular aneurysm repair (TEVAR) device (Cook Medical) was designed with 2 antegrade inner branches.

Techniques: Computed Tomography