Fenestrated endovascular aortic repair for the treatment of patients with aortic arch diseases: report of 52 cases
10.3760/cma.j.cn113855-20240511-00358
- VernacularTitle:体外预开窗技术腔内治疗主动脉弓部病变52例
- Author:
Xiaofeng HAN
1
;
Xi GUO
1
;
Guangrui LIU
1
;
Tiezheng LI
1
;
Shangdong XU
1
;
Xiaohai MA
1
Author Information
1. 首都医科大学附属北京安贞医院介入诊疗科，北京 100029
- Publication Type:Journal Article
- Keywords:
Aortic arch diseases;
Stents;
Fenestration
- From:
Chinese Journal of General Surgery
2025;40(5):386-391
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the safety and efficacy of fenestrated endovascular aortic repair for the treatment of diseases involving in the aortic arch.Methods:The clinical data of 52 patients with aortic arch diseases treated with fenestrated endovascular aortic repair technique at Beijing Anzhen Hospital, Capital Medical University from Nov 2021 to Jan 2024 was retrospectively analyzed.Results:Fenestration technique was used to reconstruct the branches of the arch for all 52 patients, with a success rate of 100%. A total of 56 stent grafts in the thoracic aorta and 56 bridging stents in the branch artery were implanted. The follow-up time ranged from 3 to 24 months, with an average of 11.3 months. One patient with type B aortic dissection underwent secondary intervention treatment after six months due to the distal reentry tear, and none of the patients experienced branch vessel ischemia, spinal cord ischemia, renal dysfunction, or aortic disease-related deaths during the following-up period.Conclusion:Fenestrated technique in endovascular aortic repair is safe and effective for treating aortic arch diseases.
