Discussion on the technical details of the controllable fenestrated thoracic aortic endovascular repair
10.3760/cma.j.cn115396-20211124-00444
- VernacularTitle:可控预开窗胸主动脉腔内修复术的技术细节探讨
- Author:
Jiaxue BI
1
;
Xiangchen DAI
Author Information
1. 天津医科大学总医院血管外科 300052
- Keywords:
Aorta, thoracic;
Thoracic surgical procedures;
Endovascular procedure;
Physician-modified fenestration;
Reascularization
- From:
International Journal of Surgery
2021;48(12):793-797,f3
- CountryChina
- Language:Chinese
-
Abstract:
Fenestrated thoracic aortic endovascular repair (TEVAR), as the most advantageous technique for total endovascular repair of aortic arch lesions, has been widely carried out in China, but the technical level is different, the operation process lacks standardization, and the quality control is insufficient. This article discusses the technical details include how to ensure the controllability of TEVAR in physician-modified fenestration, how to choose indications, select fenestration positions, make fenestration, install preset guide wires, unwind guide wires, accurately position fenestration of the hole, delivery and release of the bridging stent combined with author′s experience.