Endovascular repair combined with fenestrated stent grafts in treating aortic arch lesions
10.3760/cma.j.issn.1001-4497.2019.12.007
- VernacularTitle: 腔内修复联合开窗技术治疗主动脉弓部病变
- Author:
Wentao GAO
1
;
Min ZHOU
1
;
Guangmin YANG
1
;
Muzhapa MAIHEMUTIJIANG
1
;
Ming ZHANG
1
;
Wei WANG
1
;
Dian HUANG
1
;
Xiaoqiang LI
1
Author Information
1. Department of Vascular Surgery, Nanjing Drum Tower Hospital, Nanjing University of Medical School, Nanjing 210009, China
- Publication Type:Journal Article
- Keywords:
Aortic arch;
TEVAR;
Fenestrated stent grafts
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(12):739-743
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate endovascular repair combined with fenestrated stent grafts for the treatment of aortic dissection or aneurysm involving aortic arch.
Methods:From Jun 2017 to Dec 2018, 30 patients of complicated aortic arch lesions were treated with endovascular repair combined with fenestrated endografts. 26 male and 4 female, aged(53±16) years. All patients had hypertension. 12 cases were treated via needle based in situ fenestration, another 16 cases using physician modified stent grafts, while 2 cases combining these two methods to achieve optimal fenestration. Patients were followed by receiving CTA for mortality, patency of bridging stents, endoleaks and complications.
Results:Operations were performed successfully in all cases. The median follow-up is 8.5 months. There was no aorta-related mortality. 1 patient developed cerebral infarction and 1 had hydropericardium. Type Ⅲ endoleaks were observed in 5 patients, no reintervention. All target vessels were patent during the follow up.
Conclusion:Fenestrated stent grafts shows satisfactory short-term outcomes in treating aortic arch lesions.
