Physician-modified fenestrated stent grafts for aortic dissection aneurysm

VernacularTitle:应用预开窗支架技术治疗主动脉夹层动脉瘤
Author: Min ZHOU ¹ ; Guangmin YANG ; Zhao LIU ; Tong QIAO ; Chen LIU ; Changjian LIU ; Xiaoqiang LI
Author Information

1. 南京大学医学院附属鼓楼医院血管外科 210008
Keywords: Aortic diseases; Stents; Treatment outcome
From: Chinese Journal of General Surgery 2019;34(4):332-335
CountryChina
Language:Chinese
Abstract: Objective To evaluate the safety and efficacy of fenestrated endovascular aortic repair (fEVAR) using physician-modified stent grafts(PMSGs) to repair aortic dissection aneurysm.Methods Nine consecutive patients who underwent fEVAR using PMSGs from Jan 2018 to Jun 2018 were retrospectively reviewed.Results Nine PMSGs (6 Ankura stent grafts,3 COOK Zenith stent grafts) were deployed.Initial technical success rate was 97.0％ (32 of 33).Mean operative time was (303 ± 51) min.There were no in-hospital death and no perioperative neurology complications.All the patients survived at a median follow-up of 6.1 mouths (ranging 3-10 months).During follow up,no postoperative complications occurred,all target vessels remained patent and no fenestration-related type Ⅰ endoleak were observed.There are 3 cases of type Ⅱ and 2 cases of type Ⅲ endoleaks respectively.Conclusions FEVAR using PMSGs may be a viable alternative for patients with post aortic dissection aneurysm.