scholarly journals A fenestrated stent graft for surgical resection of lung cancer invading the aortic arch

2013 ◽  
Vol 146 (1) ◽  
pp. 238-239 ◽  
Author(s):  
Toshiyuki Nagata ◽  
Yoshihiro Nakamura ◽  
Hiroyuki Yamamoto ◽  
Masami Sato
Keyword(s):  
Lung Cancer ◽  
Aortic Arch ◽  
Surgical Resection ◽  
Stent Graft ◽  
Fenestrated Stent Graft

Case Series of Aortic Arch Aneurysm in Patients with Bovine Arch Treated with Proximal Scalloped and Fenestrated Stent Graft

2018 ◽  
Vol 41 (11) ◽  
pp. 1648-1653 ◽  
Author(s):  
Naoki Toya ◽  
Takao Ohki ◽  
Soichiro Fukushima ◽  
Kota Shukuzawa ◽  
Eisaku Ito ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Case Series ◽  
Aortic Arch Aneurysm ◽  
Fenestrated Stent Graft ◽  
Arch Aneurysm ◽  
Bovine Arch

A Challenging Treatment for Aortic Arch Aneurysm With Fenestrated Stent Graft

2017 ◽  
Vol 104 (6) ◽  
pp. 1915-1922 ◽  
Author(s):  
Koichi Yuri ◽  
Naoyuki Kimura ◽  
Daijiro Hori ◽  
Atsushi Yamaguchi ◽  
Hideo Adachi
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Aortic Arch Aneurysm ◽  
Fenestrated Stent Graft ◽  
Arch Aneurysm

Outcomes of Total Endovascular Aortic Arch Repair with Surgeon-Modified Fenestrated Stent-Grafts on Zone 0 Landing for Aortic Arch Pathologies

2021 ◽  
pp. 152660282110364
Author(s):  
Xiaoye Li ◽  
Lei Zhang ◽  
Chao Song ◽  
Hao Zhang ◽  
Shibo Xia ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Artery Occlusion ◽  
Technical Success ◽  
Stent Grafts ◽  
Landing Zone ◽  
Subclavian Artery Occlusion ◽  
Fenestrated Stent Graft ◽  
Aortic Arch Repair

Objectives This study evaluated the feasibility and safety of total endovascular aortic arch repair with surgeon-modified fenestrated stent-graft on zone 0 landing for aortic arch pathologies. Methods Between June 2016 and October 2019, 37 consecutive patients underwent total endovascular arch repair with surgeon-modified fenestrated stent-grafts on zone 0 landing. Outcomes included technical success, perioperative and follow-up morbidity and mortality, and branch artery patency. Results During the study period, 37 patients were treated with total endovascular aortic arch repair with surgeon-modified fenestrated stent-graft. Twenty-one (56.8%) patients were diagnosed with aortic dissections, 15 (40.5%) patients with aneurysms, and 1 (2.7%) patient required reintervention due to endoleak and sac expansion from previous thoracic endovascular aortic repair for thoracoabdominal aneurysm. The proximal landing zone for all patients were in zone 0, and all branch arteries of aortic arch were reconstructed. Technical success was achieved in 34 cases (91.9%). Three (8.1%) patients had fenestrations misaligned with target arteries, and the chimney technique was applied as a complementary measure. Thirty-day mortality rate was 5.4% (n=2). Thirty-day stroke rate was 5.4% (n=2). Thirty-day reintervention rate was 2.7% (n=1). At a median follow-up of 20 months (range, 3–49 months), 5 (13.5%) patients died, including 2 aortic-related deaths, 1 nonaortic-related death, and 2 deaths of unknown reason. One (2.7%) patient had stroke. Four patients (10.8%) had reintervention during the follow-up, including 2 cases of left subclavian artery occlusion and 2 cases of type II endoleak. The estimated survival (±SE) at 2 years was 72.4%±9.7% (95% CI 53.4%–91.4%). The estimated freedom from reintervention (±SE) at 2 years was 87.4%±5.9% (95% CI 75.84%–98.96%). Conclusions Total endovascular aortic arch repair with surgeon-modified fenestrated stent-grafts on zone 0 landing is an alternate option for the treatment of aortic arch pathologies in experienced centers.

scholarly journals Double homemade fenestrated stent graft for total endovascular aortic arch repair

2019 ◽  
Vol 70 (4) ◽  
pp. 1031-1038 ◽  
Author(s):  
Ludovic Canaud ◽  
Baris Ata Ozdemir ◽  
Lucien Chassin-Trubert ◽  
Julien Sfeir ◽  
Pierre Alric ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Fenestrated Stent Graft ◽  
Aortic Arch Repair

scholarly journals TCTAP C-164 Endovascular Treatment of Thoracic Aortic Arch Aneurysm: Using Window Shaped Fenestrated Stent Graft

2018 ◽  
Vol 71 (16) ◽  
pp. S233-S234 ◽  
Author(s):  
Sun Hack Lee ◽  
Han Cheol Lee ◽  
Jeong Cheon Choe ◽  
Jinhee Ahn ◽  
Jin Sup Park ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Aortic Arch ◽  
Stent Graft ◽  
Aortic Arch Aneurysm ◽  
Fenestrated Stent Graft ◽  
Arch Aneurysm

Homemade Fenestrated Stent-Grafts for Complete Endovascular Repair of Aortic Arch Dissections

2019 ◽  
Vol 26 (5) ◽  
pp. 645-651 ◽  
Author(s):  
Ludovic Canaud ◽  
Baris Ata Ozdemir ◽  
Lucien Chassin-Trubert ◽  
Julien Sfeir ◽  
Pierre Alric ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Covered Stent ◽  
Type I ◽  
Type Ii ◽  
Stent Grafts ◽  
Fenestrated Stent Graft ◽  
Type I Endoleak

Purpose: To evaluate outcomes of homemade fenestrated stent-grafts for complete endovascular aortic repair of aortic arch dissections. Materials and Methods: From July 2014 through September 2018, 35 patients (mean age 66±11 years; 25 men) underwent homemade fenestrated stent-graft repair of acute (n=16) or chronic (n=10) complicated type B aortic dissections (n=16) and dissecting aortic arch aneurysms subsequent to surgical treatment of acute type A dissections (n=9). Nineteen (54%) procedures were emergent. Results: Zone 2 single-fenestrated stent-grafts were used in 25 cases; the remaining 10 were double-fenestrated stent-grafts deployed in zone 0. Median time for stent-graft modification was 18 minutes (range 16–20). Technical success was achieved in all cases. An immediate distal type I endoleak was treated intraoperatively. Among the double-fenestrated stent-graft cases, the left subclavian artery fenestration could not be cannulated in 2 patients and revascularization was required. Partial coverage of the left common carotid artery necessitated placement of a covered stent in 3 cases. One (3%) patient had a stroke without permanent sequelae. Two type II endoleaks required additional covered stent placement at 5 and 7 days postoperatively, respectively. The 30-day mortality was 6% (2 patients with ruptured aortic arch aneurysm). During a mean follow-up of 17.6±13 months, there was no aortic rupture or retrograde dissection. One late type I endoleak was treated with additional proximal fenestrated stent-graft placement. One type II endoleak is currently under observation. One additional patient died (unrelated to the aorta); overall mortality was 9%. All supra-aortic trunks were patent. Conclusion: The use of homemade fenestrated stent-grafts for endovascular repair of aortic arch dissections is feasible and effective for total endovascular aortic arch repair. Durability concerns will need to be assessed in additional studies with long-term follow-up.

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