The “Skewer Technique” for Stentgraft Delivery in the Aortic Arch: Advancing the Dilatator in The Innominate Artery Over a Right Femoro-Brachial Through-And-Through Wire

Hamwi, Tarek; Tsilimparis, Nikolaos; Stana, Jan; Fenelli, Cecilia; Benfor, Bright; Prendes, Carlota Fernández

doi:10.1016/j.avsg.2021.10.058

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Endovascular Options1

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2023

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“…This allows the tip of the endograft to be advanced into the innominate artery and the graft to be placed in zone 2 or 3. 9 Because the wire does not extend into the ascending aorta, this technique is not suitable for landing zones in the proximal aortic arch. Another option is to exchange the through-and-through wire for a super stiff wire once the graft reaches the aortic arch and has passed through the kinks in the descending aorta.…”

Section: Endovascular Optionsmentioning

confidence: 99%

Expert opinion: How to treat type IA endoleakage

Peterß

Stana

Rantner

et al. 2023

Asian Cardiovasc Thorac Ann

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Type Ia endoleaks due to failed sealing or loss of landing zone and the adequate management thereof remain crucial for long-term therapeutic success following TEVAR. This expert opinion summarizes our institutional experience with endovascular, open surgical, and hybrid techniques in the context of recent scientific publications. The rapid turnover of technical innovations, but most importantly outcome data demonstrate the requirement for increasingly patient-tailored treatment strategies and the need for specialized aortic centers. The latter should offer a complete range of treatment options, an adequate perioperative management, and the highest level of multidisciplinary expertise.

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Section: Endovascular Optionsmentioning

confidence: 99%