Endovascular Repair of Acute Traumatic Thoracic Aortic Transection With Laser-Assisted In-Situ Fenestration of a Stent-Graft Covering the Left Subclavian Artery

2009 ◽  
Vol 16 (4) ◽  
pp. 457-463 ◽  
Author(s):  
Erin H. Murphy ◽  
J. Michael Dimaio ◽  
William Dean ◽  
Michael E. Jessen ◽  
Frank R. Arko
Keyword(s):  
Stent Graft ◽  
Subclavian Artery ◽  
Endovascular Repair ◽  
Left Subclavian Artery ◽  
Aortic Transection

Anatomical repair for Kommerell diverticulum with deep site in-situ fenestration

2018 ◽  
Vol 26 (6) ◽  
pp. 467-469
Author(s):  
Masami Shingaki ◽  
Yoshihiko Kurimoto ◽  
Kiyofumi Morishita ◽  
Toshio Baba ◽  
Tsuyoshi Shibata ◽  
...  
Keyword(s):  
Stent Graft ◽  
Subclavian Artery ◽  
Endovascular Repair ◽  
Left Subclavian Artery ◽  
The Third ◽  
Deep Site ◽  
Main Component ◽  
Thoracic Stent Graft ◽  
Kommerell Diverticulum

An 83-year-old woman with a Kommerell diverticulum was treated by anatomical endovascular repair with a deep site in-situ fenestration instead of complex debranching techniques. The main component of the thoracic stent-graft was deployed just distal to the third cervical branch to completely exclude the Kommerell diverticulum. A deep site in-situ fenestration was made on the main component using a radiofrequency needle through the left subclavian artery, and a stent-graft was deployed to bridge the main component to the left subclavian artery. Six months postoperatively, the Kommerell diverticulum was completely excluded with excellent left subclavian artery patency.

In Situ Stent-Graft Fenestration to Preserve the Left Subclavian Artery

2004 ◽  
Vol 11 (2) ◽  
pp. 170-174 ◽  
Author(s):  
Richard G. McWilliams ◽  
Micheal Murphy ◽  
David Hartley ◽  
Michael M. D. Lawrence-Brown ◽  
Peter L. Harris
Keyword(s):  
Stent Graft ◽  
Subclavian Artery ◽  
Left Subclavian Artery

Fenestrated TEVAR Using a Guidewire Fixator for Anchoring in Aortic Arch Target Vessels

2017 ◽  
Vol 25 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Tilo Kölbel ◽  
Linus Bosaeus ◽  
Nikolaos Tsilimparis ◽  
Franziska Heidemann ◽  
Fiona Rohlffs ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Stent Graft ◽  
Subclavian Artery ◽  
Endovascular Repair ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Left Common Carotid Artery ◽  
Target Vessel ◽  
Arch Aneurysm

Purpose: To report a new facilitated method for securing target vessel access during single fenestrated and branched thoracic endovascular repair using a guidewire fixator. Technique: The Liungman Guidewire Fixator (LGF) includes a 0.035-inch guidewire that is fitted with a stopper close to the distal end and a self-expanding anchoring element that is freely movable over the guidewire to the point of the stopper. The technique of using a LGF for anchoring in a target vessel is described in a 75-year-old woman with a 53-mm saccular arch aneurysm. She was treated with a fenestrated Zenith stent-graft that had a catheter-preloaded fenestration for the left subclavian artery (LSA) and a scallop for the left common carotid artery. To avoid through-and-through wire and brachial access, the LGF was used to secure the guidewire in the LSA during stent-graft deployment. Conclusion: The use of an LGF for anchoring in the target LSA during fenestrated arch endografting was feasible and safe.

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