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The Chimney Technique

Kölbel, Tilo LU ; Ohrlander, T.; Dias, Nuno LU ; Resch, Tim LU ; Sonesson, Björn LU and Malina, Martin LU (2009) In Gefässchirurgie 14(3). p.206-212
Abstract
A thoracic chimney graft is a stent or stent graft that is deployed in a supraaortic branch vessel, protruding somewhat proximally into the free aortic lumen like a chimney parallel to the main aortic stent graft. The chimney graft is used to preserve flow to vital aortic side branches covered by the main aortic stent graft. Standard off-the-shelf stent grafts can be used to instantly treat lesions with inadequate fixation zones. The chimney graft offers an alternative to fenestrated stent grafts in urgent cases, in aneurysms with challenging neck anatomy, and in thoracic endovascular aortic repair for reconstituting an unintentionally covered aortic side branch. We describe our experience with this technique and review the current... (More)
A thoracic chimney graft is a stent or stent graft that is deployed in a supraaortic branch vessel, protruding somewhat proximally into the free aortic lumen like a chimney parallel to the main aortic stent graft. The chimney graft is used to preserve flow to vital aortic side branches covered by the main aortic stent graft. Standard off-the-shelf stent grafts can be used to instantly treat lesions with inadequate fixation zones. The chimney graft offers an alternative to fenestrated stent grafts in urgent cases, in aneurysms with challenging neck anatomy, and in thoracic endovascular aortic repair for reconstituting an unintentionally covered aortic side branch. We describe our experience with this technique and review the current literature. More data and further technical improvements are necessary before the chimney graft can be widely advocated. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Left, Aortic arch, TEVAR, Chimney graft, Endovascular aortic repair, subclavian artery
in
Gefässchirurgie
volume
14
issue
3
pages
206 - 212
publisher
Springer
external identifiers
  • wos:000267393500008
  • scopus:68149139550
ISSN
1434-3932
DOI
10.1007/s00772-008-0661-1
language
German
LU publication?
yes
id
6dca375d-e009-4c90-b8de-d25a2c07d159 (old id 1463215)
date added to LUP
2009-08-31 10:58:23
date last changed
2017-08-13 03:27:20
@article{6dca375d-e009-4c90-b8de-d25a2c07d159,
  abstract     = {A thoracic chimney graft is a stent or stent graft that is deployed in a supraaortic branch vessel, protruding somewhat proximally into the free aortic lumen like a chimney parallel to the main aortic stent graft. The chimney graft is used to preserve flow to vital aortic side branches covered by the main aortic stent graft. Standard off-the-shelf stent grafts can be used to instantly treat lesions with inadequate fixation zones. The chimney graft offers an alternative to fenestrated stent grafts in urgent cases, in aneurysms with challenging neck anatomy, and in thoracic endovascular aortic repair for reconstituting an unintentionally covered aortic side branch. We describe our experience with this technique and review the current literature. More data and further technical improvements are necessary before the chimney graft can be widely advocated.},
  author       = {Kölbel, Tilo and Ohrlander, T. and Dias, Nuno and Resch, Tim and Sonesson, Björn and Malina, Martin},
  issn         = {1434-3932},
  keyword      = {Left,Aortic arch,TEVAR,Chimney graft,Endovascular aortic repair,subclavian artery},
  language     = {ger},
  number       = {3},
  pages        = {206--212},
  publisher    = {Springer},
  series       = {Gefässchirurgie},
  title        = {The Chimney Technique},
  url          = {http://dx.doi.org/10.1007/s00772-008-0661-1},
  volume       = {14},
  year         = {2009},
}