Antegrade in situ fenestrated endovascular repair of a ruptured thoracoabdominal aortic aneurysm

We describe a technique for antegrade in situ laser fenestration that has several advantages in the setting of ruptured thoracoabdominal aortic aneurysms. This technique involves rapid aneurysm sealing by deployment of aortic stent graft, followed by sequential incorporation of branch vessels using...

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Detalles Bibliográficos
Autores principales: Zhang, Louis L., Weaver, Fred A., Rowe, Vincent L., Ziegler, Kenneth R., Magee, Gregory A., Han, Sukgu M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Innovative technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7378364/
https://www.ncbi.nlm.nih.gov/pubmed/32715183
http://dx.doi.org/10.1016/j.jvscit.2020.05.008
Descripción
Sumario:We describe a technique for antegrade in situ laser fenestration that has several advantages in the setting of ruptured thoracoabdominal aortic aneurysms. This technique involves rapid aneurysm sealing by deployment of aortic stent graft, followed by sequential incorporation of branch vessels using a laser probe through steerable sheath. The advantages of this technique include (1) rapid seal of the ruptured aneurysm, (2) preservation of the visceral and renal branch perfusion, (3) use of an off-the-shelf device, and (4) the ability to be performed without general anesthesia.

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