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Hosny, A. S., A. Almahrouky, A. balboula, and M. yousry, "Feasibility of Vessel Sealing Devices in Surgical Excision of Vascular Malformations – Novel Approach", international journal of surgery open, 2020.
M, S., F. A, and F. AG, "Thrombin Injection Vs Conventional Surgical Repair in Treatment of Iatrogenic Post-Cath Femoral Artery Pseudoaneurysm (Ifap)", International Journal of Surgery & Surgical Techniques, vol. 4, issue 1, pp. 1-4, 2020. ijsst16000144.pdf
Kursat Bozkurt, Eberhard Rabe, and M. I. Sharkawy, "Chronic Venous Insufficiency: Management and Treatment", EMJ Dermatol, vol. 5, issue Suppl 2, pp. 2-13, 2017. chronic-venous-insufficiency.pdf
Sabry, M., M. A. Mahdy, and m sharkawy, "Hybrid Technique for Management of Thrombosed Hemodialysis Autogenous Arteriovenous Fistulas", Med. J. Cairo Univ, vol. 85, 2017.
Sabry, M., m sharkawy, A. S. Hosny, and H. E. S. H. A. M. MOSTAFA, "Outcome and Feasability of Endovascular Techniques as an Option in Management of Failing AVF in Hemodialysis Patients", Med. J. Cairo Univ, vol. 85, pp. 1899-1902, 2017. 3-outcome_and_feasability_of_endovascular_techniques_as_an.pdf
Sharkawy, M., "Amputation-free limb survival in diabetic foot lesions: A Review", Evid Based Med Public Health, vol. 2, issue 2016, pp. 1-6, 2016. 1477-8886-2-pb.pdf
Brunkwall, S., W. Ahmad, S. Mylonas, M. Sharkawy, J. Wippermann, and J. Brunkwall, "The Ascending Aorta as an Exit Site for a Through-and-Through Wire in TEVAR.", Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, vol. 22, issue 6, pp. 934-7, 2015 Dec. Abstract

PURPOSE: To describe a technique for trans-ascending aorta through-and-through guidewire placement for thoracic endograft advancement and deployment.

CASE REPORT: A 55-year-old man presented with a symptomatic pseudoaneurysm of the distal aortic arch after aortic coarctation open repair. He had also undergone mechanical aortic valve replacement. Planned were a left-sided carotid-subclavian bypass and a thoracic endovascular aortic repair with a chimney graft to the left common carotid artery. After carotid-subclavian bypass, efforts to retrograde cannulate the aortic arch and advance the thoracic endograft were unsuccessful. Because of the mechanical heart valve, no transapical approach could be used. Access to the ascending aorta was gained through a midline sternotomy. A through-and-through wire was positioned from the ascending aorta to femoral artery, which provided the required stability for advancement of the thoracic endograft. Six-month computed tomography documented patent endografts and carotid-subclavian bypass and no evidence of endoleak.

CONCLUSION: A trans-ascending aorta through-and-through guidewire is a feasible adjunct that can be added to the endovascular armamentarium when transcardiac or transbrachial approaches are impossible or ineffective.