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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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
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author Mandigers, Tim J.
Ramella, Anna
Bissacco, Daniele
Domanin, Maurizio
van Herwaarden, Joost A.
Luraghi, Giulia
Migliavacca, Francesco
Trimarchi, Santi
author_facet Mandigers, Tim J.
Ramella, Anna
Bissacco, Daniele
Domanin, Maurizio
van Herwaarden, Joost A.
Luraghi, Giulia
Migliavacca, Francesco
Trimarchi, Santi
author_sort Mandigers, Tim J.
collection PubMed
description 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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spelling pubmed-104574402023-08-27 Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair Mandigers, Tim J. Ramella, Anna Bissacco, Daniele Domanin, Maurizio van Herwaarden, Joost A. Luraghi, Giulia Migliavacca, Francesco Trimarchi, Santi J Vasc Surg Cases Innov Tech Case report 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. Elsevier 2023-07-17 /pmc/articles/PMC10457440/ /pubmed/37635740 http://dx.doi.org/10.1016/j.jvscit.2023.101269 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case report
Mandigers, Tim J.
Ramella, Anna
Bissacco, Daniele
Domanin, Maurizio
van Herwaarden, Joost A.
Luraghi, Giulia
Migliavacca, Francesco
Trimarchi, Santi
Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair
title Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair
title_full Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair
title_fullStr Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair
title_full_unstemmed Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair
title_short Utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair
title_sort utilizing numerical simulations to prevent stent graft kinking during thoracic endovascular aortic repair
topic Case report
url 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
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