Radiofrequency in situ fenestration for aortic arch vessels during thoracic endovascular repair

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Leonard W TseKong Teng Tan

Abstract

To report the first clinical application of a novel technique using radiofrequency puncture to create retrograde in situ fenestrations during thoracic endovascular aortic repair (TEVAR). Between June 2011 and December 2013, 40 TEVAR procedures were performed in our facility, including 10 cases in which in situ fenestration was planned. Two thoracic stent-graft models were deployed: the Valiant (n=5) and the Zenith TX2 (n=5). A 0.035-inch PowerWire radiofrequency guidewire delivered from a brachial approach was used to fenestrate the grafts covering a left subclavian artery (LSA) in 9 cases and a left common carotid artery in one. The fenestrations were serially dilated to 6 mm, and self-expanding Advanta V12 covered stents were positioned in the target arteries. Technical success was achieved in 6 of the 10 planned cases. Of the remaining 4 cases, stent-grafts were deployed in zone 3 in 2 cases (one received a chimney to the LSA). Another stent-graft was deployed in zone 2 without endoleak after fenestration was abandoned (the LSA had good filling via the vertebral artery). In the last case, the fenestration was unsuccessful in double-layered (proximal extension overlap) stent-grafts; a carotid-axillary bypass was required. The...Continue Reading

References

Apr 2, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Richard G McWilliamsPeter L Harris
May 9, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Leonard W H TseGilles Soulez
Apr 18, 2008·Interactive Cardiovascular and Thoracic Surgery·Furuzan NumanMustafa Cikirikcioglu
Oct 31, 2008·Cardiovascular and Interventional Radiology·Celia V RigaNicholas Cheshire
Jun 6, 2009·Journal of Vascular Surgery·Björn SonessonMartin Malina
Aug 26, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Erin H MurphyFrank R Arko
Sep 15, 2009·Annals of Vascular Surgery·G Roche-NagleB B Rubin
Nov 3, 2009·Journal of Vascular Surgery·Brian J ManningPeter L Harris
Apr 30, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Leonard W H TseGilles Soulez
Aug 2, 2011·Journal of Vascular and Interventional Radiology : JVIR·Norio HongoHiromu Mori
Jul 14, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Daniel S Kassavin, George Constantinopoulos
Aug 7, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Celia V RigaNicholas J W Cheshire
Feb 4, 2014·The Journal of Thoracic and Cardiovascular Surgery·Stephane CollaudMarc de Perrot
Mar 20, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L A EadieL W Tse

❮ Previous
Next ❯

Citations

Jan 8, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·B SonessonJ Holst
Mar 21, 2016·The Journal of Thoracic and Cardiovascular Surgery·Jian YangJun Ren
Sep 20, 2015·The Journal of Thoracic and Cardiovascular Surgery·Qingsheng LuZaiping Jing
Aug 25, 2015·Journal of the American College of Surgeons·Yonghua BiWenguang Zhang
May 18, 2016·Journal of Vascular Surgery·Sean A CrawfordMatthew G Doyle
Nov 9, 2016·Seminars in Vascular Surgery·W Anthony Lee
Jul 30, 2016·Journal of Vascular Surgery·Piotr M KasprzakReinhard Kopp
Oct 30, 2015·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·George JosephRaj Sahajanandan
Apr 26, 2018·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jing LinRobert Guidoin
Dec 1, 2017·Heart Views : the Official Journal of the Gulf Heart Association·Terri-Ann Teisha RussellChristoph A Nienaber
Aug 20, 2017·Cardiovascular and Interventional Radiology·Tobias PenzkoferPhilipp Bruners
Jun 21, 2018·Asian Cardiovascular & Thoracic Annals·Masami ShingakiKohei Narayama
Jul 14, 2018·The Journal of Cardiovascular Surgery·Hervé RousseauFatima-Zohra Mokrane
Feb 6, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jinbao QinXinwu Lu
Aug 1, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Wenwen WangZhao Liu
Aug 5, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dong-Lin LiHong-Kun Zhang
Sep 2, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Mingyao LuoChang Shu
Dec 4, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Lei ZhangQing-Sheng Lu
Sep 11, 2020·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Robert GuidoinZe Zhang
May 23, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ahmed S EleshraNikolaos Tsilimparis
Jan 6, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Jing LinRobert Guidoin
Aug 15, 2020·Journal of Vascular and Interventional Radiology : JVIR·Khashayar FarsadJohn A Kaufman
Mar 29, 2020·Journal of the American College of Cardiology·Jaffar M KhanRobert J Lederman
Jan 14, 2020·The Journal of Thoracic and Cardiovascular Surgery·Lei ZhangZaiping Jing
Jun 22, 2021·Annals of Vascular Surgery·Elizabeth EvansMathew Wooster
Dec 5, 2019·Journal of Vascular Surgery Cases and Innovative Techniques·Anastasia PlotkinGregory A Magee
Aug 19, 2021·Journal of Cardiac Surgery·James A BrownIbrahim Sultan
Apr 6, 2021·The Annals of Thoracic Surgery·Haiyang ChangYuliang Li

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection
Destination

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Related Papers

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Sadaf S AhanchiJean M Panneton
Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Richard G McWilliamsPeter L Harris
Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Erin H MurphyFrank R Arko
© 2021 Meta ULC. All rights reserved