Commentary: The Valiant Thoracic Stent Graft for Endovascular Repair of Thoracic Aortic Aneurysms and Dissections: Looking Good So Far

2010 ◽  
Vol 17 (2) ◽  
pp. 151-152 ◽  
Author(s):  
François Dagenais
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Aortic Aneurysms ◽  
Thoracic Aortic Aneurysms ◽  
Thoracic Stent Graft

Stent graft types for endovascular repair of thoracic aortic aneurysms

2013 ◽  
Author(s):  
Rachel Rolph ◽  
James MN Duffy ◽  
Bijan Modarai ◽  
Rachel E Clough ◽  
Peter Taylor ◽  
...  
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Aortic Aneurysms ◽  
Thoracic Aortic Aneurysms

A Modified Proximal Stent-Graft for Spinal Cord Preconditioning During Staged Endovascular Repair of Thoracoabdominal Aortic Aneurysms

2020 ◽  
Vol 27 (5) ◽  
pp. 764-768
Author(s):  
Enrico Rinaldi ◽  
Niccolò Carta ◽  
Germano Melissano ◽  
Roberto Chiesa ◽  
Luca Bertoglio
Keyword(s):  
Spinal Cord ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Aortic Wall ◽  
Outer Part ◽  
Aortic Aneurysms ◽  
Additional Tool ◽  
Repair Technique ◽  
Custom Made ◽  
Thoracic Stent Graft

Purpose: To describe a new custom-made thoracic device able to seal against the aortic wall and occlude intercostal arteries for spinal cord preconditioning during the first thoracic stage of a thoracoabdominal endovascular repair. Technique: The custom-made device, based on the Zenith Alpha stent-graft, combines different features from 2 previously described devices: the outer part is designed with a bell-bottom configuration similar to the “Embo” stent-graft, while the inner part mimics the “2 in 1” design. The outer stent-graft is designed to span the entire length of the thoracic aorta and cover as many intercostal arteries as possible during the first stage to effectively precondition the spinal cord. The sutured inner component is customizable in diameter and 20 to 40 mm shorter than the outer stent-graft. The technique has been used in 5 patients. Conclusion: The use of this new custom-made thoracic stent-graft might represent an additional tool for effectively preconditioning the spinal cord during fenestrated and branched staged procedures whenever a proximal thoracic proximal component is needed.

Endovascular Repair of Thoracic Aortic Aneurysms: Stent-graft Fixation across the Aortic Arch Vessels

2002 ◽  
Vol 16 (1) ◽  
pp. 24-28 ◽  
Author(s):  
James A. Burks ◽  
Peter L. Faries ◽  
Edwin C. Gravereaux ◽  
Larry H. Hollier ◽  
Michael L. Marin
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Aortic Aneurysms ◽  
Graft Fixation ◽  
Thoracic Aortic Aneurysms

scholarly journals Repair of descending thoracic aortic aneurysms with Ankura Thoracic Stent Graft

2019 ◽  
Vol 69 (4) ◽  
pp. 996-1002.e3 ◽  
Author(s):  
Theodoros Kratimenos ◽  
Constantine N. Antonopoulos ◽  
Dimitrios Tomais ◽  
Panagiotis Dedeilias ◽  
Vasileios Patris ◽  
...  
Keyword(s):  
Stent Graft ◽  
Aortic Aneurysms ◽  
Thoracic Aortic Aneurysms ◽  
Thoracic Stent Graft

Stent graft types for endovascular repair of thoracic aortic aneurysms

2010 ◽  
Author(s):  
Rachel Rolph ◽  
James MN Duffy ◽  
Bijan Modarai ◽  
Rachel Clough ◽  
Peter Taylor ◽  
...  
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Aortic Aneurysms ◽  
Thoracic Aortic Aneurysms

scholarly journals Endovascular repair of de novo post-stenotic aortic coarctation aneurysms with complex collateral supply: two cases with long and medium term follow-up

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Omar Abdel-Hadi ◽  
John Thomson ◽  
Simon J. McPherson
Keyword(s):  
Stent Graft ◽  
Endovascular Repair ◽  
Aortic Coarctation ◽  
De Novo ◽  
Aortic Aneurysms ◽  
Medium Term ◽  
First Case ◽  
Case Presentations ◽  
Selective Embolisation

Abstract Purpose To report the technical details and outcomes of the endovascular repair of two cases of de novo post-stenotic aortic coarctation aneurysms complicated by complex collateral supply. Case presentations Two patients with thoracic aortic aneurysms complicated by complex aneurysm sac collaterals distal to a previously untreated thoracic aortic coarctation have been treated at our institution. Open surgical intervention was deemed to carry a high risk of haemorrhage due to the degree and complexity of arterial collateralisation. In the first case, selective embolisation of collateral vasculature was performed prior to successful exclusion of the aneurysm with a thoracic endovascular stent-graft and then balloon-expandable stent dilatation of the coarctation stenosis. In the second case, the additional technique of using a jailed sheath within the aneurysm sac allowed for selective embolisation of previously inconspicuous collaterals after deployment of the stent-graft and stent combination. Results Technical success was achieved in both patients with successful occlusion of the aneurysm, with no recorded complications or aneurysm sac perfusion in the long and medium term follow up periods respectively. Conclusion De novo post stenotic aortic coarctation aneurysms are rare. Endovascular repair is a safe and durable technique that provides a less invasive alternative to open surgical repair. The use of a jailed sheath allows for complete selective embolisation of complex collaterals avoiding a type II aneurysm endoleak.

scholarly journals The first commercial use of the Valiant Navion stent graft system for endovascular repair of a descending thoracic aortic aneurysm

Vascular ◽  
2020 ◽  
pp. 170853812098112
Author(s):  
Cassra N Arbabi ◽  
Navyash Gupta ◽  
Ali Azizzadeh
Keyword(s):  
Stent Graft ◽  
Standard Of Care ◽  
Aortic Aneurysms ◽  
Descending Thoracic Aortic Aneurysm ◽  
Thoracic Aortic Aneurysms ◽  
Commercial Use ◽  
Early Results ◽  
Multiple Configuration ◽  
One Year

Objectives Thoracic endovascular aortic repair (TEVAR) is the standard of care for descending thoracic aortic aneurysms (DTAA), and newer generation stent grafts have significant design improvements compared to earlier generation devices. Methods We report the first commercial use of the Medtronic Valiant Navion stent graft for treatment of an 85-year-old woman with a 5.8 cm DTAA and a highly tortuous thoracic aorta. Results A percutaneous TEVAR was performed using a two-piece combination of the Valiant Navion FreeFlo and CoveredSeal stent graft configurations for zones 2–5 coverage. The devices were successfully delievered through highly tortuous anatomy and deployed, excluding the entire length of the aneurysm with precise landing, excellent apposition and no evidence of endoleak. The patient tolerated the procedure well and has had no stent graft-related complications through one-year follow-up. Conclusions Design enhancements such as a lower profile delivery system, better conformability, and a shorter tapered tip are some of the improvements to this third-generation TEVAR device. Coupled with the multiple configuration options available, this gives physicians a better tool to treat thoracic aortic pathologies in patients with challenging anatomy. The early results are encouraging, and evaluation of long-term outcomes will continue.

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