Application of Castor branched stent combined with parallel stent in Z1 zone thoracic endovascular aortic repair
- VernacularTitle:Castor分支支架联合平行支架技术在Z1区胸主动脉腔内修复术中的应用
- Author:
Xiang KONG
1
;
Peng RUAN
1
;
Jiquan YU
1
;
Jianjun GE
1
Author Information
1. Department of Cardiovascular Surgery, The First Affiliated Hospital of University of Science and Technology of China, Hefei, 230001, P. R. China
- Publication Type:Journal Article
- Keywords:
Branched stent;
parallel stent;
endovascular repair;
left common carotid artery;
left subclavian artery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(10):1473-1477
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the short and medium term results of Castor single branched stent combined with parallel stent technique in the reconstruction of two supra-aortic branches in total endovascular repair of aortic arch lesions. Methods The patients with aortic arch disease who were treated with single-branch stents combined with parallel stents for Z1 anchoring and total endovascular repair from April 2022 to August 2022 in the Department of Cardiovascular Surgery of the First Affiliated Hospital of University of Science and Technology of China were retrospectively included, and the perioperative and follow-up data of the patients were analyzed. Results There were 4 males and 1 female with an average age of (46.2±18.6) years. This study included 1 patient of aortic arch aneurysm and 4 patients of acute non-A non-B aortic dissection. The success rate of surgical technique was 100.0%. The operative time was (132.3±45.1) min, the immediate postoperative isolation of lesions was satisfactory, and there were no adverse events and death in perioperative period. The follow-up time was 12-15 months. During the follow-up period, all patients survived without stent displacement, type Ⅰa endoleak, parallel stent stenosis and occlusion, or re-operation. Conclusion The short and medium term results of single branched stents combined with parallel stents in total endovascular repair of aortic arch diseases requiring Z1 anchoring is satisfactory.
