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In situ fenestration in the aortic arch.

Abstract：

:In situ fenestration of aortic stent grafts has the potential to allow for continued perfusion of supra-aortic trunks, without the need for extra-anatomic bypass, and without the need for custom-made devices. Angulation of the target vessel relative to the arch is an obstacle to success with this technique. In this report, we describe a case of successful in situ fenestration of the left subclavian artery (LSA) in a patient with an aortic arch aneurysm, treated with an endovascular stent graft. We outline a novel technique using through and through wire access and a pre-curved semi-rigid sheath, which allows successful access to the lumen of the aortic stent graft, despite an acute angle at the take-off of the LSA.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Manning BJ,Ivancev K,Harris PL

doi

10.1016/j.jvs.2009.07.088

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

491-4

issue

2

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(09)01487-6

journal_volume

52

pub_type

杂志文章

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