Self-radiopaque marker guiding physician modified fenestration technique for the treatment of aortic arch diseases with insufficient proximal anchoring area

VernacularTitle:支架自显影体外定位体外开窗技术治疗近端锚定区不足的主动脉弓部疾病
Author: Chenglin LUO ¹ ; Qing WANG ; Jie TAN ; Bin LAN
Author Information

1. 410005 湖南长沙湖南省人民医院介入血管外科
Keywords: aortic arch; self-radiopaque; covered stent; endovascular treatment
From: Journal of Interventional Radiology 2024;33(10):1111-1115
CountryChina
Language:Chinese
Abstract: Objective To discuss the clinical application of self-radiopaque marker guiding physician modified fenestration technique in treating aortic arch diseases with insufficient proximal anchoring area.Methods From October 2021 to March 2023,a total of 8 patients with aortic dissection/aneurysm located in area Z0 received thoracic endovascular aortic repair(TEVAR)by using self-radiopaque marker guiding physician modified fenestration technique.The patients were followed up to observe the safety and efficacy of this technique.Results Successful TEVAR was accomplished in all the 8 patients.Type Ⅰ endoleak occurred in one patient,which disappeared within 6 months.No perioperative death,stroke or paraplegia occurred.Conclusion For the treatment of aortic arch diseases with insufficient proximal anchoring area,TEVAR by using self-radiopaque marker guiding physician modified fenestration technique is clinically safe and effective with satisfactory short-to-medium-term effect,although its long-term effect needs further observation.