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In Situ Needle Fenestration during Thoracic Endovascular Aneurysm Repair: Successful Fenestration of Two Overlapping Thoracic Stent Grafts.
- Source :
-
Vascular and endovascular surgery [Vasc Endovascular Surg] 2024 Nov; Vol. 58 (8), pp. 866-870. Date of Electronic Publication: 2024 Aug 19. - Publication Year :
- 2024
-
Abstract
- Endovascular stent grafting is becoming more common in treating complex thoracic aortic aneurysms and dissections. When it becomes necessary to cover the supra-aortic vessels, maintaining blood supply through the supra-aortic branches can be achieved by performing in situ needle fenestration. We present a case of a 65-year-old man with a type B aortic dissection that extended from the origin of the left subclavian artery. A stent graft was inserted into the thoracic aorta distally of the origin of the left common carotid artery. Due to the stent graft moving distally and not adequately sealing the subclavian artery, a second stent graft was placed more proximally. Both stent grafts were successfully in situ fenestrated using a needle, and a stent graft was inserted into the subclavian artery. In conclusion, during thoracic endovascular aortic repair, in situ needle fenestration can be successfully carried out on two overlapping thoracic stent grafts.<br />Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Subjects :
- Humans
Male
Aged
Treatment Outcome
Aortography methods
Needles
Subclavian Artery surgery
Subclavian Artery diagnostic imaging
Endovascular Aneurysm Repair
Aortic Aneurysm, Thoracic surgery
Aortic Aneurysm, Thoracic diagnostic imaging
Endovascular Procedures instrumentation
Stents
Blood Vessel Prosthesis Implantation instrumentation
Blood Vessel Prosthesis
Aortic Dissection surgery
Aortic Dissection diagnostic imaging
Prosthesis Design
Computed Tomography Angiography
Subjects
Details
- Language :
- English
- ISSN :
- 1938-9116
- Volume :
- 58
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Vascular and endovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 39159146
- Full Text :
- https://doi.org/10.1177/15385744241273434