Accelerated fatigue study of in situ fenestrated endovascular stent grafts deployed inside the 3D phantom of a patient's aortic arch aneurysm

Abstract A 76-year-old man presented with an aortic arch aneurysm and was considered a candidate for endovascular aortic arch repair by in situ fenestration. Alternative access routes were explored because of atherosclerotic disease of the descending aorta and bilateral carotid arteries. Transapical deployment of both an aortic and a branched stent grafts was successfully conducted without cerebral complications. The transapical access might have the potential to reduce the risks of complications related to large bore-sheath insertion to the carotid arteries.

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2F42 Measurement of three-dimensional deployment process of fenestrated stent-grafts in models of human aortic arch aneurysm with branches

The Proceedings of the Bioengineering Conference Annual Meeting of BED/JSME ◽

10.1299/jsmebio.2014.26.509 ◽

2014 ◽

Vol 2014.26 (0) ◽

pp. 509-510

Author(s):

Kenya ASATO ◽

Kiyotaka IWASAKI ◽

Yasuhiro TAKAHASHI ◽

Miyuki UEMATSU ◽

Ryusuke NAKAOKA ◽

...

Keyword(s):

Aortic Arch ◽

Three Dimensional ◽

Aortic Arch Aneurysm ◽

Stent Grafts ◽

Arch Aneurysm

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A Case of Successful Transaortic Endovascular Stent Grafting for Distal Aortic Arch Aneurysm with Severely Calcified Chronic Aortic Dissection

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.34.282 ◽

2005 ◽

Vol 34 (4) ◽

pp. 282-286

Author(s):

Masato Yoshida ◽

Nobuhiko Mukohara ◽

Hidefumi Obo ◽

Hiroya Minami ◽

Kenichi Kim ◽

...

Keyword(s):

Aortic Dissection ◽

Aortic Arch ◽

Aortic Arch Aneurysm ◽

Endovascular Stent ◽

Stent Grafting ◽

Endovascular Stent Grafting ◽

Chronic Aortic Dissection ◽

Distal Aortic Arch Aneurysm ◽

Arch Aneurysm

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Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction

Case Reports in Medicine ◽

10.1155/2017/6568028 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Didem Melis Oztas ◽

Cagla Canbay ◽

Yilmaz Onal ◽

Metin Onur Beyaz ◽

Omer Ali Sayin ◽

...

Keyword(s):

Aortic Arch ◽

Alternative Therapy ◽

Aortic Arch Aneurysm ◽

Aortic Aneurysms ◽

Endovascular Stent ◽

Aortoiliac Occlusive Disease ◽

Mortality And Morbidity ◽

Stent Grafting ◽

Endovascular Stent Grafting ◽

Arch Aneurysm

Treatment of thoracic aortic aneurysms constitutes high mortality and morbidity rates despite improvements in surgery, anesthesia, and technology. Endovascular stent grafting may be an alternative therapy with lower risks when compared with conventional techniques. However, sometimes the branches of the aortic arch may require transport to the proximal segments prior to successful thoracic aortic endovascular stent grafting. Atherosclerosis is accounted among the etiology of both aneurysms and occlusive diseases that can coexist in the same patient. In these situations stent grafting may even be more complicated. In this report, we present the treatment of a 92-year-old patient with aortic arch aneurysm and proximal descending aortic aneurysm. For successful thoracic endovascular stent grafting, the patient needed an alternative route other than the native femoral and iliac arteries for the deployment of the stent graft. In addition, debranching of left carotid and subclavian arteries from the aortic arch was also required for successful exclusion of the thoracic aneurysm.

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