Use of Physician-Modified Fenestrated Stent-Graft With Wire Loop Technique for Complex Aortic Arch Aneurysm

AbstractThe authors describe a technique of treating patients with aortic arch aneurysm using surgeon-modified fenestrated stent graft (SMFSG). The technique is demonstrated in a 80-year-old patient whose aneurysm was successfully excluded with a SMFSG using Cook Alpha thoracic stent graft. The device was deployed, removed from its delivery system, and a fenestration created before being mounted back on the delivery system and constrained. It was transitioned through a series of sheaths before being introduced into its original sheath. The device was implanted via a common femoral artery access site; fenestration cannulated from the left brachial artery and bridged with a stent graft.

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Thoracic Endovascular Aortic Repair Using Combined the Najuta Fenestrated Stent Graft Plus the Distal Ctag Stent Graft for Aortic Arch Aneurysm

European Journal of Vascular and Endovascular Surgery ◽

10.1016/j.ejvs.2019.06.887 ◽

2019 ◽

Vol 58 (6) ◽

pp. e284-e285

Author(s):

Naoki Toya ◽

Soichiro Fukushima ◽

Eisaku Ito ◽

Takeyuki Misawa ◽

Takao Ohki

Keyword(s):

Aortic Arch ◽

Stent Graft ◽

Thoracic Endovascular Aortic Repair ◽

Aortic Arch Aneurysm ◽

Endovascular Aortic Repair ◽

Aortic Repair ◽

Fenestrated Stent Graft ◽

Arch Aneurysm

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Successful Type II Endoleak Closure by Subclavian-to-Carotid Artery Transposition After Stent-Graft Placement of a Distal Aortic Arch Aneurysm

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2005-865630 ◽

2005 ◽

Vol 53 (5) ◽

pp. 322-324 ◽

Cited By ~ 6

Author(s):

D. Zimpfer ◽

M. Schoder ◽

T. Fleck ◽

T. Holzenbein ◽

M. Cejna ◽

...

Keyword(s):

Carotid Artery ◽

Aortic Arch ◽

Stent Graft ◽

Aortic Arch Aneurysm ◽

Type Ii ◽

Type Ii Endoleak ◽

Graft Placement ◽

Distal Aortic Arch Aneurysm ◽

Arch Aneurysm

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Physician-Modified Endograft With Triple Inner Branches for Extensive Aortic Arch Aneurysm

Journal of Endovascular Therapy ◽

10.1177/15266028211059439 ◽

2021 ◽

pp. 152660282110594

Author(s):

Yu Zhang ◽

Jiayu Shen ◽

Peng Yang ◽

Jia Hu

Keyword(s):

Case Report ◽

High Risk ◽

Aortic Arch ◽

Stent Graft ◽

Aortic Arch Aneurysm ◽

Attractive Option ◽

Arch Aneurysm ◽

Thoracic Stent Graft

Purpose: The purpose of this case report was to demonstrate the feasibility of a physician-modified endograft (PMEG) with 3 inner branches for extensive aortic arch aneurysm. Case Report: A 69-year-old male presented with extensive aortic arch aneurysm involving all supra-aortic vessels. An Ankura thoracic stent graft was modified with 3 inner branches fashioned of Viabahn endoprostheses. The procedure was technically successful, and the patient was discharged with no complications. Conclusion: This back-table modification of the off-the-shelf endograft is an especially attractive option for complex arch pathologies with urgency and deemed too high risk for reopen surgery.

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