Progress on fenestration during thoracic endovascular aortic repair.
- Author:
Yilang XIANG
1
;
Ziheng WU
1
;
Hongkun ZHANG
1
Author Information
1. Department of Vascular Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
- Publication Type:Journal Article
- MeSH:
Aorta, Thoracic;
surgery;
Blood Vessel Prosthesis Implantation;
Endovascular Procedures;
Prosthesis Design;
Stents;
Treatment Outcome
- From:
Journal of Zhejiang University. Medical sciences
2018;47(6):617-622
- CountryChina
- Language:Chinese
-
Abstract:
Endovascular aortic arch repair remains challenging due to the complicated anatomy and the involved vital branches. Off-label techniques emerged during the last decade, including endografts with parallel stents (known as Chimney, Periscope, Sandwich), surgeon-modified endografts, and various other reported techniques. fenestration of standard endografts represents another off-label endovascular means to maintain perfusion to aortic side branches located in the excluded area. Its principle is based on fenestration of an endograft following its deployment inside the vascular system. As data are emerging regarding fenestration, the aim of this article is to review recent progress of technical descriptions, and clinic results of fenestration from the available literature.