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In Situ Fenestration - A novel option for endovascular aortic arch repair.

Malina, Martin LU and Sonesson, Björn LU (2015) In Journal of Cardiovascular Surgery 56(3). p.355-362
Abstract
Aortic arch repair, is a surgical challenge irrespective of which technique is applied. While open surgical repair is a major trauma and a technically difficult procedure that many elderly patients tolerate poorly, the branched and fenestrated stentgrafts remain complex to implant safely. Hybrid procedures combine some of the advantages of both open and endovascular techniques but also many disadvantages. The possibility of total arch replacement with a standard off--the--shelf thoracic stentgraft and preservation of precerebral vessels by in situ fenestration has recently been reported. Some technical issues remain but recent technical adjuncts seem to facilitate temporary cerebral shunting during implantation as well as piercing of the... (More)
Aortic arch repair, is a surgical challenge irrespective of which technique is applied. While open surgical repair is a major trauma and a technically difficult procedure that many elderly patients tolerate poorly, the branched and fenestrated stentgrafts remain complex to implant safely. Hybrid procedures combine some of the advantages of both open and endovascular techniques but also many disadvantages. The possibility of total arch replacement with a standard off--the--shelf thoracic stentgraft and preservation of precerebral vessels by in situ fenestration has recently been reported. Some technical issues remain but recent technical adjuncts seem to facilitate temporary cerebral shunting during implantation as well as piercing of the stentgraft fabric. The positioning of fenestrations is inherently accurate by this technique which may be associated with less material fatigue and improve durability. Preliminarily, this technology holds the promise of simpler implantation, less risk for stroke and improved durability of the devices. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Cardiovascular Surgery
volume
56
issue
3
pages
355 - 362
publisher
Edizioni Minerva Medica
external identifiers
  • pmid:25592278
  • wos:000355362400004
  • scopus:84938925172
ISSN
0021-9509
language
English
LU publication?
yes
id
27d431be-5634-45d2-aceb-24d00066f403 (old id 5040365)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25592278?dopt=Abstract
date added to LUP
2015-02-03 17:35:21
date last changed
2017-02-05 03:54:07
@article{27d431be-5634-45d2-aceb-24d00066f403,
  abstract     = {Aortic arch repair, is a surgical challenge irrespective of which technique is applied. While open surgical repair is a major trauma and a technically difficult procedure that many elderly patients tolerate poorly, the branched and fenestrated stentgrafts remain complex to implant safely. Hybrid procedures combine some of the advantages of both open and endovascular techniques but also many disadvantages. The possibility of total arch replacement with a standard off--the--shelf thoracic stentgraft and preservation of precerebral vessels by in situ fenestration has recently been reported. Some technical issues remain but recent technical adjuncts seem to facilitate temporary cerebral shunting during implantation as well as piercing of the stentgraft fabric. The positioning of fenestrations is inherently accurate by this technique which may be associated with less material fatigue and improve durability. Preliminarily, this technology holds the promise of simpler implantation, less risk for stroke and improved durability of the devices.},
  author       = {Malina, Martin and Sonesson, Björn},
  issn         = {0021-9509},
  language     = {eng},
  number       = {3},
  pages        = {355--362},
  publisher    = {Edizioni Minerva Medica},
  series       = {Journal of Cardiovascular Surgery},
  title        = {In Situ Fenestration - A novel option for endovascular aortic arch repair.},
  volume       = {56},
  year         = {2015},
}