Presentation is loading. Please wait.

Presentation is loading. Please wait.

In situ fenestration in the aortic arch

Published byAnthony Stafford Modified over 5 years ago

Similar presentations

Presentation on theme: "In situ fenestration in the aortic arch"— Presentation transcript:

1 In situ fenestration in the aortic arch
Brian J. Manning, MD, FRCSI, Krassi Ivancev, MD, PhD, Peter L. Harris, MD, FRCS  Journal of Vascular Surgery  Volume 52, Issue 2, Pages (August 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Computed tomography scan showing a 5.5 cm saccular aneurysm of the thoracic aorta, originating from the lesser curve of the arch. The acute angulation between the LSA and the aorta is also seen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 Fig 2 (a) The partially deployed stent graft is positioned following establishment of through-and-through wire access, and a rigid 7 Fr trochar is positioned adjacent to the stent graft, which is then punctured with a 22G needle. (b) The obturator is withdrawn from the needle and replaced with a in wire, over which a larger needle is passed and followed by a series of cutting balloons (c). (d) The in wire was replaced with a stiff in wire and a larger 8 Fr sheath was delivered across the fenestration. With the balloon-mounted stent in position, the thoracic stent graft deployment was completed, in order to optimize alignment of the fenestration with the target vessel. The covered stent across the fenestration was then deployed and subsequently dilated with a high pressure balloon to complete the process (e). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

4 Fig 3 The modified TIPS sheath, which has an inner metal core. It has been bent into the desired shape and allows a spinal needle to be safely introduced to the level of the graft, which is then punctured and accessed with an in wire. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Completion angiogram shows good position of the covered stents allowing perfusion of the left subclavian artery, while the fully deployed thoracic stent graft has excluded the previously perfused aneurysm. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Download ppt "In situ fenestration in the aortic arch"

Similar presentations

Directional tip control technique for optimal stent graft alignment in angulated proximal aortic landing zones  Toshio Takayama, MD, PhD, Patrick J. Phelan,

Directional tip control technique for optimal stent graft alignment in angulated proximal aortic landing zones  Toshio Takayama, MD, PhD, Patrick J. Phelan,
In situ laser fenestration during emergent thoracic endovascular aortic repair is an effective method for left subclavian artery revascularization  Richard.

In situ laser fenestration during emergent thoracic endovascular aortic repair is an effective method for left subclavian artery revascularization  Richard.
Bare metal stent infections: Case report and review of the literature

Bare metal stent infections: Case report and review of the literature
Mark J.W. Koelemay, MD, PhD  Journal of Vascular Surgery 

Mark J.W. Koelemay, MD, PhD  Journal of Vascular Surgery 
One-stage hybrid procedure for aberrant right subclavian artery and thoracic aneurysm  Shinya Takahashi, MD, PhD, Keijiro Katayama, MD, PhD, Taiichi Takasaki,

One-stage hybrid procedure for aberrant right subclavian artery and thoracic aneurysm  Shinya Takahashi, MD, PhD, Keijiro Katayama, MD, PhD, Taiichi Takasaki,
Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P

Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P
Stent-graft repair of traumatic thoracic aortic disruptions

Stent-graft repair of traumatic thoracic aortic disruptions
Clare L. Bent, FRCR, Matthew B

Clare L. Bent, FRCR, Matthew B
Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients  Joseph.

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients  Joseph.
Endovascular techniques for arch vessel reconstruction

Endovascular techniques for arch vessel reconstruction
Elective sac perfusion to reduce the risk of neurologic events following endovascular repair of thoracoabdominal aneurysms  Seamus C. Harrison, MRCS,

Elective sac perfusion to reduce the risk of neurologic events following endovascular repair of thoracoabdominal aneurysms  Seamus C. Harrison, MRCS,
Aortic arch involvement worsens the prognosis of type B aortic dissections  R. James Valentine, MD, Julia M. Boll, MD, Kyle M. Hocking, PhD, John A. Curci,

Aortic arch involvement worsens the prognosis of type B aortic dissections  R. James Valentine, MD, Julia M. Boll, MD, Kyle M. Hocking, PhD, John A. Curci,
Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation  Juan C. Parodi, MD, Luis Mariano.

Use of covered stents and endograft as a rescue treatment in a patient with a complex form of recurrent aortic coarctation  Juan C. Parodi, MD, Luis Mariano.
Embolization as cause of bowel ischemia after endovascular abdominal aortic aneurysm repair  Wayne W. Zhang, MD, Mahmoud N. Kulaylat, MD, Paul M. Anain,

Embolization as cause of bowel ischemia after endovascular abdominal aortic aneurysm repair  Wayne W. Zhang, MD, Mahmoud N. Kulaylat, MD, Paul M. Anain,
Initial clinical experience with a new low-profile thoracic endograft

Initial clinical experience with a new low-profile thoracic endograft
Combined surgical and endovascular treatment of aortic arch aneurysms

Combined surgical and endovascular treatment of aortic arch aneurysms
Visceral embolus protection by catheters with balloon-inflatable tips during hybrid repair of thoracoabdominal aortic aneurysm  Mojtaba Sadeghi-Azandaryani,

Visceral embolus protection by catheters with balloon-inflatable tips during hybrid repair of thoracoabdominal aortic aneurysm  Mojtaba Sadeghi-Azandaryani,
Novel technique for endovascular salvage of a folded aortic endograft

Novel technique for endovascular salvage of a folded aortic endograft
Supra-aortic vessels aneurysms: Diagnosis and prompt intervention

Supra-aortic vessels aneurysms: Diagnosis and prompt intervention
Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection  Steffan.

Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection  Steffan.

Similar presentations

Ads by Google