Modular branched stent graft for endovascular repair of aortic arch aneurysm and dissection
We describe a modular stent graft for use in endovascular repair of aneurysms of the aortic arch. Carotid-carotid and left carotid–subclavian bypass grafts are created surgically. Two large, fully stented grafts are inserted endoluminally. The proximal component is bifurcated, with a wide proximal t...
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| Veröffentlicht in: | Journal of vascular surgery 2003-10, Vol.38 (4), p.859-863 |
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| container_title | Journal of vascular surgery |
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| creator | Chuter, Timothy A.M Schneider, Darren B Reilly, Linda M Lobo, Errol P Messina, Louis M |
| description | We describe a modular stent graft for use in endovascular repair of aneurysms of the aortic arch.
Carotid-carotid and left carotid–subclavian bypass grafts are created surgically. Two large, fully stented grafts are inserted endoluminally. The proximal component is bifurcated, with a wide proximal trunk and two distal limbs, one long and narrow, the other short and wide. This component is inserted through the carotid artery and deployed with the trunk and short wide limb in the ascending thoracic aorta; the long narrow limb opens into the innominate artery. After delivery system removal and carotid artery repair, a distal component is inserted through a femoral approach to bridge the gap between the short, wide distal limb of the proximal component and the nondilated descending thoracic aorta. The result is a branched stent graft, implanted proximally into the ascending aorta and distally into the innominate artery and descending thoracic aorta.
The system has been used successfully to treat a large wide-necked pseudoaneurysm of the aortic arch. |
| doi_str_mv | 10.1016/S0741-5214(03)01023-1 |
| format | Article |
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Carotid-carotid and left carotid–subclavian bypass grafts are created surgically. Two large, fully stented grafts are inserted endoluminally. The proximal component is bifurcated, with a wide proximal trunk and two distal limbs, one long and narrow, the other short and wide. This component is inserted through the carotid artery and deployed with the trunk and short wide limb in the ascending thoracic aorta; the long narrow limb opens into the innominate artery. After delivery system removal and carotid artery repair, a distal component is inserted through a femoral approach to bridge the gap between the short, wide distal limb of the proximal component and the nondilated descending thoracic aorta. The result is a branched stent graft, implanted proximally into the ascending aorta and distally into the innominate artery and descending thoracic aorta.
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Carotid-carotid and left carotid–subclavian bypass grafts are created surgically. Two large, fully stented grafts are inserted endoluminally. The proximal component is bifurcated, with a wide proximal trunk and two distal limbs, one long and narrow, the other short and wide. This component is inserted through the carotid artery and deployed with the trunk and short wide limb in the ascending thoracic aorta; the long narrow limb opens into the innominate artery. After delivery system removal and carotid artery repair, a distal component is inserted through a femoral approach to bridge the gap between the short, wide distal limb of the proximal component and the nondilated descending thoracic aorta. The result is a branched stent graft, implanted proximally into the ascending aorta and distally into the innominate artery and descending thoracic aorta.
The system has been used successfully to treat a large wide-necked pseudoaneurysm of the aortic arch.</description><subject>Aneurysm, Dissecting - surgery</subject><subject>Aorta, Abdominal</subject><subject>Aorta, Thoracic</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Brachiocephalic Trunk</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Stents</subject><issn>0741-5214</issn><issn>1097-6809</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtu1TAQQC0EopfST6DyBgSLwDh24mSFUEULUhEL2lUX1tieUFe58a2dVOrf4_tQu2Q1o9GZ12HsnYDPAkT75Q9oJaqmFuojyE8goJaVeMFWAnpdtR30L9nqCTlib3K-AxCi6fRrdiRU00Kt2hW7-RX9MmLiNuHkbsnzPNM0878Jh5kPMXGafHzA7HZUog2GxOPAMaY5OI7J3XKcaEmPeV0Sz33Imdwc4vSWvRpwzHRyiMfs-vz71dmP6vL3xc-zb5eVU7KbK0u6RmhQttb3Vg3C1dL2rumtVahaKxGgb2sk6XtJUltCIug60NgNupSP2Yf93E2K9wvl2axDdjSO5a64ZKNFrTut6gI2e9ClmHOiwWxSWGN6NALM1qrZWTVbZQak2Vk1ovSdHhYsdk3-ueugsQDvD0ARheOwdRnyM1cGlhdU4b7uOSo6HgIlk12gyZEPqTgzPob_nPIP9luVKw</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>Chuter, Timothy A.M</creator><creator>Schneider, Darren B</creator><creator>Reilly, Linda M</creator><creator>Lobo, Errol P</creator><creator>Messina, Louis M</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20031001</creationdate><title>Modular branched stent graft for endovascular repair of aortic arch aneurysm and dissection</title><author>Chuter, Timothy A.M ; Schneider, Darren B ; Reilly, Linda M ; Lobo, Errol P ; Messina, Louis M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-be72a05a36bd9b4f1c23b9c59bb4a46b3a00962ae3d93e37beaee08807a8f7ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aneurysm, Dissecting - surgery</topic><topic>Aorta, Abdominal</topic><topic>Aorta, Thoracic</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Brachiocephalic Trunk</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chuter, Timothy A.M</creatorcontrib><creatorcontrib>Schneider, Darren B</creatorcontrib><creatorcontrib>Reilly, Linda M</creatorcontrib><creatorcontrib>Lobo, Errol P</creatorcontrib><creatorcontrib>Messina, Louis M</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chuter, Timothy A.M</au><au>Schneider, Darren B</au><au>Reilly, Linda M</au><au>Lobo, Errol P</au><au>Messina, Louis M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modular branched stent graft for endovascular repair of aortic arch aneurysm and dissection</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>38</volume><issue>4</issue><spage>859</spage><epage>863</epage><pages>859-863</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>We describe a modular stent graft for use in endovascular repair of aneurysms of the aortic arch.
Carotid-carotid and left carotid–subclavian bypass grafts are created surgically. Two large, fully stented grafts are inserted endoluminally. The proximal component is bifurcated, with a wide proximal trunk and two distal limbs, one long and narrow, the other short and wide. This component is inserted through the carotid artery and deployed with the trunk and short wide limb in the ascending thoracic aorta; the long narrow limb opens into the innominate artery. After delivery system removal and carotid artery repair, a distal component is inserted through a femoral approach to bridge the gap between the short, wide distal limb of the proximal component and the nondilated descending thoracic aorta. The result is a branched stent graft, implanted proximally into the ascending aorta and distally into the innominate artery and descending thoracic aorta.
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| ispartof | Journal of vascular surgery, 2003-10, Vol.38 (4), p.859-863 |
| issn | 0741-5214 1097-6809 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; EZB Electronic Journals Library |
| subjects | Aneurysm, Dissecting - surgery Aorta, Abdominal Aorta, Thoracic Aortic Aneurysm, Thoracic - surgery Biological and medical sciences Blood and lymphatic vessels Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - methods Brachiocephalic Trunk Cardiology. Vascular system Diseases of the aorta Humans Medical sciences Stents |
| title | Modular branched stent graft for endovascular repair of aortic arch aneurysm and dissection |
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