Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair

Numerical simulations of thoracic endovascular aortic repair (TEVAR) may be implemented in the preoperative workflow if credible and reliable. We present the application of a TEVAR simulation methodology to an 82-year-old woman with a penetrating atherosclerotic ulcer in the left hemiarch, that unde...

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Detalles Bibliográficos
Autores principales: Mandigers, Tim J., Ramella, Anna, Bissacco, Daniele, Domanin, Maurizio, van Herwaarden, Joost A., Luraghi, Giulia, Migliavacca, Francesco, Trimarchi, Santi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10457440/
https://www.ncbi.nlm.nih.gov/pubmed/37635740
http://dx.doi.org/10.1016/j.jvscit.2023.101269
Descripción
Sumario:Numerical simulations of thoracic endovascular aortic repair (TEVAR) may be implemented in the preoperative workflow if credible and reliable. We present the application of a TEVAR simulation methodology to an 82-year-old woman with a penetrating atherosclerotic ulcer in the left hemiarch, that underwent a left common carotid artery to left subclavian artery bypass and consequent TEVAR in zone 2. During the intervention, kinking of the distal thoracic stent graft occurred and the simulation was able to reproduce this event. This report highlights the potential and reliability of TEVAR simulations to predict perioperative adverse events and short-term postoperative technical results.

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