Abstract

Objective: Upper extremity (UE) access is associated with an increased risk of peri-operative strokes and transient ischaemic attacks (TIAs) after F-BEVAR. Left sided UE access avoids crossing the arch and the origin of the supra-aortic vessels, which could reduce cerebral embolisation and the risk of peri-operative cerebrovascular events. Although right UE access is convenient, ergonomic, and may reduce operator radiation exposure, whether it results in increased risk of peri-operative cerebrovascular events has not been established. The purpose of this study was to assess the peri-operative cerebrovascular events after F-BEVAR using right versus left side upper extremity access.

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