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In Situ Needle Fenestration during Thoracic Endovascular Aneurysm Repair: Successful Fenestration of Two Overlapping Thoracic Stent Grafts.
Sfyroeras, Georgios S; Georgiadi, Eleni; Papavasileiou, Georgia; Spiliopoulos, Stavros; Kakisis, John D.
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  • Sfyroeras GS; Department of Vascular Surgery, University of Athens Medical School, Athens, Greece.
  • Georgiadi E; Department of Vascular Surgery, University of Athens Medical School, Athens, Greece.
  • Papavasileiou G; Department of Radiology, University of Athens Medical School, Athens, Greece.
  • Spiliopoulos S; Department of Radiology, University of Athens Medical School, Athens, Greece.
  • Kakisis JD; Department of Vascular Surgery, University of Athens Medical School, Athens, Greece.
Vasc Endovascular Surg ; 58(8): 866-870, 2024 Nov.
Article en En | MEDLINE | ID: mdl-39159146
ABSTRACT
Endovascular stent grafting is becoming more common in treating complex thoracic aortic aneurysms and dissections. When it becomes necessary to cover the supra-aortic vessels, maintaining blood supply through the supra-aortic branches can be achieved by performing in situ needle fenestration. We present a case of a 65-year-old man with a type B aortic dissection that extended from the origin of the left subclavian artery. A stent graft was inserted into the thoracic aorta distally of the origin of the left common carotid artery. Due to the stent graft moving distally and not adequately sealing the subclavian artery, a second stent graft was placed more proximally. Both stent grafts were successfully in situ fenestrated using a needle, and a stent graft was inserted into the subclavian artery. In conclusion, during thoracic endovascular aortic repair, in situ needle fenestration can be successfully carried out on two overlapping thoracic stent grafts.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diseño de Prótesis / Prótesis Vascular / Stents / Aneurisma de la Aorta Torácica / Implantación de Prótesis Vascular / Procedimientos Endovasculares / Angiografía por Tomografía Computarizada / Disección Aórtica Límite: Aged / Humans / Male Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diseño de Prótesis / Prótesis Vascular / Stents / Aneurisma de la Aorta Torácica / Implantación de Prótesis Vascular / Procedimientos Endovasculares / Angiografía por Tomografía Computarizada / Disección Aórtica Límite: Aged / Humans / Male Idioma: En Revista: Vasc Endovascular Surg Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Estados Unidos