In situ fenestration in the aortic arch
In situ fenestration of aortic stent grafts has the potential to allow for continued perfusion of supra-aortic trunks, without the need for extra-anatomic bypass, and without the need for custom-made devices. Angulation of the target vessel relative to the arch is an obstacle to success with this te...
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| Veröffentlicht in: | Journal of vascular surgery 2010-08, Vol.52 (2), p.491-494 |
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| container_end_page | 494 |
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| container_issue | 2 |
| container_start_page | 491 |
| container_title | Journal of vascular surgery |
| container_volume | 52 |
| creator | Manning, Brian J., MD, FRCSI Ivancev, Krassi, MD, PhD Harris, Peter L., MD, FRCS |
| description | In situ fenestration of aortic stent grafts has the potential to allow for continued perfusion of supra-aortic trunks, without the need for extra-anatomic bypass, and without the need for custom-made devices. Angulation of the target vessel relative to the arch is an obstacle to success with this technique. In this report, we describe a case of successful in situ fenestration of the left subclavian artery (LSA) in a patient with an aortic arch aneurysm, treated with an endovascular stent graft. We outline a novel technique using through and through wire access and a pre-curved semi-rigid sheath, which allows successful access to the lumen of the aortic stent graft, despite an acute angle at the take-off of the LSA. |
| doi_str_mv | 10.1016/j.jvs.2009.07.088 |
| format | Article |
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Angulation of the target vessel relative to the arch is an obstacle to success with this technique. In this report, we describe a case of successful in situ fenestration of the left subclavian artery (LSA) in a patient with an aortic arch aneurysm, treated with an endovascular stent graft. 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| identifier | ISSN: 0741-5214 |
| ispartof | Journal of vascular surgery, 2010-08, Vol.52 (2), p.491-494 |
| issn | 0741-5214 1097-6809 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - surgery Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Aortography - methods Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - instrumentation Blood Vessel Prosthesis Implantation - methods Female Humans Prosthesis Design Stents Surgery Tomography, X-Ray Computed Treatment Outcome |
| title | In situ fenestration in the aortic arch |
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