The transition from custom-made to standardized multibranched thoracoabdominal aortic stent grafts

Chuter, Timothy A.M.; Hiramoto, Jade S.; Park, Ki Hyuk; Reilly, Linda M.

doi:10.1016/j.jvs.2011.03.005

Cited by 67 publications

(55 citation statements)

References 16 publications

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“…17 Custom-made aortic arch and branched arch devices have been employed successfully to treat arch pathologies, maintaining blood flow in supra-aortic vessels. 18 Also, in situ laser fenestration has been reported as a valid option to restore blood flow after LSA coverage. 6 However, it requires dedicated materials not always available, especially in the emergency setting.…”

Section: Discussionmentioning

confidence: 99%

Periscope Endograft Technique to Revascularize the Left Subclavian Artery During Thoracic Endovascular Aortic Repair

Lachat

Mayer

Pfammatter

et al. 2013

Journal of Endovascular Therapy

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Purpose : To present early and midterm results of the periscope endograft (PG) technique to maintain left subclavian artery (LSA) blood flow in thoracic endovascular aortic repairs (TEVAR) involving zone 3. Methods : From April 2010 to January 2013, 14 consecutive high-risk patients (11 men; mean age 70±8 years, range 56-87) underwent TEVAR with the PG technique for 10 thoracic aortic aneurysms (TAA), 2 traumatic aortic ruptures, and 2 aortic dissections without a suitable landing zone (>2 cm distal to the LSA). Five procedures were performed emergently for rupture (3 TAAs and the 2 trauma cases). Two patients had a periscope deployed in an aberrant right subclavian artery. The periscope endografts were sized 1 to 2 mm larger than the branch artery at the intended landing zone. The caudal end was extended distal to the intended distal landing site of the thoracic stent-graft, which was usually deployed after the PG. Both the PG and thoracic stent-grafts were generally molded using the kissing balloon technique. Outcomes analyzed were immediate technical success, perioperative mortality and morbidity, aneurysm diameter change, and periscope endograft patency. Results : Immediate technical success was 100%, with all procedures completed as planned. Perioperatively, one periscope occluded and one of the ruptured TAA patients died. One percutaneous access site hematoma required only conservative management. At a mean follow-up of 26±9 months (range 9-37), there was no additional PG occlusion. The Kaplan-Meier estimate of PG patency was 93% at 2 years. Conclusion : The periscope endograft is a simple technique to maintain perfusion to the LSA in cases where the aortic stent-graft crosses its ostium. The PG technique can be performed transfemorally and even percutaneously, and it can be applied to all supra-aortic branches. Early and midterm results are encouraging, but more experience and long-term results are mandatory before this technique can be widely recommended.

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Section: Discussionmentioning

confidence: 99%

Periscope Endograft Technique to Revascularize the Left Subclavian Artery During Thoracic Endovascular Aortic Repair

Lachat

Mayer

Pfammatter

et al. 2013

Journal of Endovascular Therapy

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“…Fifty devices (61.7%) were custom-made, with cuff position determined by the patient's anatomy (custom devices), and 31 (38.3%) were constructed using a consistent craniocaudal and circumferential cuff position (standard devices). 15,19 No spiral (directional) cuffs, cranially directed cuffs, radially directed cuffs, or fenestrations were used.…”

Section: Methodsmentioning

confidence: 99%

Efficacy and durability of endovascular thoracoabdominal aortic aneurysm repair using the caudally directed cuff technique

Reilly

Rapp

Grenon

et al. 2012

Journal of Vascular Surgery

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103

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“…5 Self and balloon expandable stent grafts have been used to connect the AMB with the visceral vessels. They work as a bridge (bridging stent graft [BSG]) between the AMB and the target visceral vessel.…”

Section: Introductionmentioning

confidence: 99%

Performance of Bridging Stent Grafts in Fenestrated and Branched Aortic Endografting

Panuccio

Bisdas

Berekoven

et al. 2015

European Journal of Vascular and Endovascular Surgery

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The transition from custom-made to standardized multibranched thoracoabdominal aortic stent grafts

Cited by 67 publications

References 16 publications

Periscope Endograft Technique to Revascularize the Left Subclavian Artery During Thoracic Endovascular Aortic Repair

Periscope Endograft Technique to Revascularize the Left Subclavian Artery During Thoracic Endovascular Aortic Repair

Efficacy and durability of endovascular thoracoabdominal aortic aneurysm repair using the caudally directed cuff technique

Performance of Bridging Stent Grafts in Fenestrated and Branched Aortic Endografting

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