Endovascular Treatment of Aortic Arch Lesions Using Scalloped Endografts

Vascular and Endovascular Surgery
Leopoldo Fernández-AlonsoRoberto Centeno Vallepuga

Abstract

To present our early and midterm results using thoracic endovascular aortic repair (TEVAR) with a custom-made proximal scalloped stent graft to accommodate left common carotid artery (LCCA) and innominate artery (IA) in treating aortic lesions involving the arch. Between February 2014 and April 2017, select patients presenting with aortic arch lesions and short proximal landing zone were treated by proximal scalloped Relay Plus stent grafts. Patient demographics, operative details, clinical outcomes, and complications were analyzed. Six patients (50% male) with a median age of 71 years (range, 60-82) underwent scalloped TEVAR using thoracic custom-made Relay Plus stent graft to preserve flow in the proximal supra-aortic trunks. Target vessels for the scallop were LCCA in 5 cases and IA in 1 case. The technical success rate was 100%, and proximal seal was achieved in all cases with no type I endoleaks on completion angiography. The median follow-up period was 20 (7-32) months. No conversion to open surgical repair and no aortic rupture occurred. One patient had a distal type I endoleak on the 6-month computed tomography (CT) scan, and 1 patient had a proximal type I endoleak on the 12-month CT scan. There was no stroke, parapleg...Continue Reading

References

Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Allan J KrugerAndrew A Hill
Apr 25, 2006·The Annals of Thoracic Surgery·Suwatchai PornratanarangsiParma Nand
Aug 19, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Christoph A NienaberHüseyin Ince
Oct 12, 2010·Journal of Vascular Surgery·Jon S MatsumuraUNKNOWN Society for Vascular Surgery
Nov 6, 2013·Annals of Vascular Surgery·Carlos EstebanSecundino Llagostera
Nov 26, 2013·The Annals of Thoracic Surgery·Burkhart ZipfelUNKNOWN RESTORE Investigators
Jan 18, 2015·Annals of Vascular Surgery·Pierre LhommetRobert Martinez
Oct 23, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I Ben AbdallahJ-M Alsac
Jun 18, 2016·Journal of Vascular Surgery·Nikolaos TsilimparisTilo Kölbel
Nov 7, 2016·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Emma van der WeijdeRobin H Heijmen

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Citations

Jun 20, 2020·Annals of Vascular Surgery·Leopoldo Fernández-AlonsoRoberto Centeno Vallepuga

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