scholarly journals A new device as an open stent graft for extended aortic repair: a multicentre early experience in Japan

2015 ◽  
Vol 49 (4) ◽  
pp. 1270-1278 ◽  
Author(s):  
Naomichi Uchida ◽  
Akira Katayama ◽  
Shinichi Higashiue ◽  
Motomi Shiono ◽  
Mitsumasa Hata ◽  
...  
Keyword(s):  
Stent Graft ◽  
Early Experience ◽  
New Device ◽  
Aortic Repair ◽  
Open Stent

A New Adjustable Puncture Device for In Situ Fenestration During Thoracic Endovascular Aortic Repair

2018 ◽  
Vol 25 (4) ◽  
pp. 474-479 ◽  
Author(s):  
Lixin Wang ◽  
Xiushi Zhou ◽  
Daqiao Guo ◽  
Kai Hou ◽  
Zhenyu Shi ◽  
...  
Keyword(s):  
Stent Graft ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Technical Success Rate ◽  
New Device ◽  
Puncture Needle ◽  
Aortic Repair ◽  
Type B Dissection ◽  
Steerable Sheath

Purpose: To describe a new adjustable puncture system for in situ fenestration in thoracic endovascular aortic repair (TEVAR). Technique: An adjustable puncture needle for use in conjunction with a steerable 8-F, 55-cm Fustar sheath is demonstrated in a 65-year-old man with acute complicated type B dissection involving the left subclavian artery (LSA). The puncture device features an inflatable balloon at the tip, a central lumen for 0.018-inch guidewires, and a 3-level puncture depth. After thoracic stent-graft deployment at zone 2, the needle/sheath combination was delivered from a left brachial artery access. The needle was adjusted perpendicular to the fabric of the stent-graft with the assistance of the steerable sheath. The balloon at the tip was inflated to center the needle, and the puncture depth was selected on the puncture needle system. Holding the sheath and puncture needle together, a hole was created in the graft fabric. The aperture was sequentially dilated to accommodate the mating stent selected to maintain perfusion to the LSA. This new device has been successfully applied in 6 patients treated with TEVAR for different arch pathologies. Conclusion: This new puncture device could assist in situ fenestration and improve the technical success rate.

scholarly journals Redo Descending Aortic Replacement via Direct Anastomosis to J Graft Open Stent Graft

2019 ◽  
Vol 12 (3) ◽  
pp. 395-397 ◽  
Author(s):  
Sho Kusadokoro ◽  
Daijiro Hori ◽  
Ryo Itagaki ◽  
Koichi Adachi ◽  
Atsushi Yamaguchi
Keyword(s):  
Stent Graft ◽  
Aortic Replacement ◽  
Direct Anastomosis ◽  
Open Stent

Hybrid treatment of a post-EVAR aortoenteric fistula

Vascular ◽  
2013 ◽  
Vol 22 (5) ◽  
pp. 385-389 ◽  
Author(s):  
Karl Sörelius ◽  
Magnus Sundbom ◽  
Kevin Mani ◽  
Anders Wanhainen
Keyword(s):  
Stent Graft ◽  
Endovascular Aortic Repair ◽  
Aortoenteric Fistula ◽  
Flap Coverage ◽  
Hybrid Treatment ◽  
Aortic Repair ◽  
Aneurysm Wall ◽  
Local Antibiotic ◽  
Acute Event

This report presents a case of secondary aortoenteric fistula after endovascular aortic repair in a fragile patient: The fistula developed due to aneurysm shrinkage and remodeling of the stent graft, resulting in a kink eroding through the aneurysm wall into the duodenum. The aortoenteric fistula was successfully treated with a hybrid procedure with endovascular aortic repair, followed by open enteroraphy and omental flap coverage of the stent graft and local antibiotic irrigation. Despite the presence of the stent graft in a previously infected field, the patient has recovered from the acute event with no septic recurrence or hemorrhage during four years of follow-up.

Short-term outcomes of the t-Branch off-the-shelf multibranched stent graft for reintervention after previous infrarenal aortic repair

2020 ◽  
Vol 72 (5) ◽  
pp. 1558-1566 ◽  
Author(s):  
Ahmed Eleshra ◽  
Gustavo S. Oderich ◽  
Konstantinos Spanos ◽  
Giuseppe Panuccio ◽  
Jussi M. Kärkkäinen ◽  
...  
Keyword(s):  
Stent Graft ◽  
Short Term ◽  
Aortic Repair

Novel Application of Custom-Made Stent Grafts with Inner Branches for Secondary Treatment After Stent Graft Migration of Previous Infrarenal Endovascular Aortic Repair

2020 ◽  
Vol 66 ◽  
pp. 665.e9-665.e15
Author(s):  
Mario D'Oria ◽  
Filippo Griselli ◽  
Davide Mastrorilli ◽  
Francesco Riccitelli ◽  
Filippo Gorgatti ◽  
...  
Keyword(s):  
Stent Graft ◽  
Endovascular Aortic Repair ◽  
Secondary Treatment ◽  
Stent Grafts ◽  
Aortic Repair ◽  
Custom Made ◽  
Graft Migration

scholarly journals Thoracic Endovascular Aortic Repair of Esophageal Cancer-Associated Aortoesophageal Fistula: A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Akiko Sasaki ◽  
Hideto Egashira ◽  
Shinnosuke Tokoro ◽  
Chikamasa Ichita ◽  
Satoshi Takizawa ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Stent Graft ◽  
Postoperative Management ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Stent Insertion ◽  
Aortoesophageal Fistula ◽  
Bridge To Surgery ◽  
Aortic Repair ◽  
T4 Esophageal Cancer

Background. Thoracic endovascular aortic repair of an aortoesophageal fistula is an effective emergency treatment for patients with T4-esophageal cancer, as it prevents sudden death, and is a bridge to surgery. However, the course of unresectable malignant aortoesophageal fistula treated with thoracic endovascular aortic repair alone is not well-known. Case Presentation. We report a 67-year-old Japanese man with T4-esophageal cancer who experienced a chemoradiation-induced aortoesophageal fistula and was rescued with thoracic endovascular aortic repair. He recovered after the procedure and survived for 4 additional months with management of a mycotic aneurysm and secondary aortoesophageal fistula with the exposure of the stent graft into the esophagus. Thoracic endovascular aortic repair of aortoesophageal fistula with T4-esophageal cancer extended life for nearly an average of 4 months in the reported cases. As a postoperative complication, the exposure of the stent graft into the esophagus is rare but life-threatening; the esophageal stent insertion was effective. Conclusions. With postoperative management advances, thoracic endovascular aortic repair can improve survival and increase the quality of life of patients with T4-esophageal cancer.

Transapical Access for Antegrade Catheterization of the Inner Branches of an Arch Stent-Graft Deployed Distal to an Ascending Arch Stent-Graft

2018 ◽  
Vol 25 (5) ◽  
pp. 542-546 ◽  
Author(s):  
Yuk Law ◽  
Tilo Kölbel ◽  
Johannes Schirmer ◽  
Shadi Aleed ◽  
John Mogensen ◽  
...  
Keyword(s):  
Stent Graft ◽  
Aortic Rupture ◽  
Past History ◽  
Type I ◽  
Stent Grafts ◽  
Landing Zone ◽  
Aortic Repair ◽  
History Of ◽  
Arch Aneurysm ◽  
Transapical Access

Propose: To describe a technique for antegrade cannulation and bridging of the supra-aortic branches through a transapical access in the treatment of an arch aneurysm using combined ascending and branched arch stent-grafts. Technique: An 81-year-old man with a past history of open infrarenal aortic repair, emergent endovascular aortic repair for thoracic aortic rupture, and later perivisceral 4-vessel branched endovascular repair of type I thoracoabdominal aneurysm presented for repair of a concomitant 7.5-cm arch aneurysm. Because of a 44-mm ascending aorta, a tapered 50/44-mm ascending stent-graft was delivered through a transapical access to establish an adequate landing zone before implantation of a 46-mm inner branched arch device via a transfemoral route. Innominate and left subclavian arteries were antegradely cannulated and bridged through the existing transapical path. Conclusion: Our case demonstrates the feasibility of transapical access for cannulation of an arch branched device, while introducing the theoretical possibility of completing the entire procedure through a transapical access.

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