Early Experience with the Use of Inner Branches in Endovascular Repair of Complex Abdominal and Thoraco-abdominal Aortic Aneurysms

Katsargyris, Αthanasios; Marino, Pablo Marqués de; Mufty, Hozan; Pedro, Luís Mendes; Fernandes, Ruy Fernandes e; Verhoeven, Eric L.G.

doi:10.1016/j.ejvs.2018.01.024

Cited by 58 publications

(31 citation statements)

References 13 publications

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“…Inner branches have benefits over directional branches and fenestrations, including short extension to the sealing zone (potentially reducing the risk of postoperative spinal cord ischemia), greater flexibility during deployment, longer overlap with bridging stents, and the ability to incorporate vessels that arise from narrow aortic segments. 14 For these reasons, inner branches might be especially suited to further extend the applicability of fenestrated and branched EVAR to narrow aortas, such as in chronic post-dissection aneurysms or failed aortic repair. 15…”

Section: Discussionmentioning

confidence: 99%

Physician-Modified Endograft With Double Inner Branches for Urgent Repair of Supraceliac Para-Anastomotic Pseudoaneurysm

et al. 2019

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Purpose: To demonstrate the feasibility of a physician-modified endograft (PMEG) with inner branches for 2 mesenteric arteries as an alternative to fenestrations or directional branches. Technique: A symptomatic 60-year-old man presented with supraceliac para-anastomotic pseudoaneurysm involving an antegrade aorta to celiac artery and superior mesenteric artery bypass. Since an off-the-shelf multibranched endograft was inappropriate, a Zenith Alpha thoracic stent-graft was modified with 2 inner branches fashioned of 8-mm Viabahn endoprostheses with preloaded guidewires. The procedure was technically successful, and the patient had no postoperative complications. Conclusion: Inner branches might offer an alternative to fenestrations or directional branches in patients with narrow aortas.

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Section: Discussionmentioning

confidence: 99%

Physician-Modified Endograft With Double Inner Branches for Urgent Repair of Supraceliac Para-Anastomotic Pseudoaneurysm

et al. 2019

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“…During the follow-up period, four renal inner branches occluded in three patients. The patency of inner branched stent-graft at 1 year was 91.9 ± 4.5%, and re-intervention at 1-year rate was 11.6% ± 8.9% [ 31 ]. Another vexing problem was reconstruction of visceral artery, especially those totally originated from FL.…”

Section: Trans-tl Repairmentioning

confidence: 99%

Endovascular strategies for post-dissection aortic aneurysm (PDAA)

Zeng

Zhao

et al. 2020

J Cardiothorac Surg

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Residual patent false lumen (FL) after type B aortic dissection (TBAD) repair is independently associated with poor long-term survival. Open surgery and endovascular repair result in good clinical outcomes in patients with AD. However, both treatments focus on proximal dissection but not distal dissection. About 13.4–62.5% of these patients present with different degrees of distal aneurysmal dilatation after primary repair. Although open surgery is the first-choice treatment for post-dissection aortic aneurysm (PDAA), there is a need for high technical demand since open surgery is associated with high mortality and morbidity. As a treatment strategy with minimal invasion, endovascular repair shows early benefits and low morbidity. For PDAA, the narrow true lumen (TL), rigid initial flap and branch arteries originating from FL have increased difficulties in operation. The aim of endovascular treatment is to promote FL thrombosis and aortic remodeling. Endovascular repair includes intervention from FL and TL sides. TL intervention techniques (parallel stent-graft, branched and fenestrated stent-graft among others) have been proven to be safe and effective in PDAA. Other FL intervention techniques that have been used in selected patients include FL embolization and candy-plug techniques. This article introduces available endovascular techniques and their outcomes for the treatment of PDAA.

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“…Further, the cost of EVAR appears lower than open surgery of aortic aneurysms (7,8). Technical developments of aortic stent grafts over the last decades have enabled EVAR to treat patients with complex aortic aneurysms such as the use of fenestrated and branched aortic stent grafts for preservation of renal and visceral arterial branches (6,(9)(10)(11), thus improving the durability and safety of the implanted endovascular stent grafts.…”

Section: Introductionmentioning

confidence: 99%

Synchrotron radiation computed tomography versus conventional computed tomography for assessment of four types of stent grafts used for endovascular treatment of thoracic and abdominal aortic aneurysms

Sun

Reis

2018

Quant. Imaging Med. Surg.

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Early Experience with the Use of Inner Branches in Endovascular Repair of Complex Abdominal and Thoraco-abdominal Aortic Aneurysms

Cited by 58 publications

References 13 publications

Physician-Modified Endograft With Double Inner Branches for Urgent Repair of Supraceliac Para-Anastomotic Pseudoaneurysm

Physician-Modified Endograft With Double Inner Branches for Urgent Repair of Supraceliac Para-Anastomotic Pseudoaneurysm

Endovascular strategies for post-dissection aortic aneurysm (PDAA)

Synchrotron radiation computed tomography versus conventional computed tomography for assessment of four types of stent grafts used for endovascular treatment of thoracic and abdominal aortic aneurysms

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