Treatment of Complex Aneurysmal Disease with Fenestrated and Branched Stent Grafts

Bicknell, Colin; Cheshire, Nick; Riga, Celia; Bourke, P.; Wolfe, John H.; Gibbs, Richard; Jenkins, Michael; Hamady, Mohamad

doi:10.1016/j.ejvs.2008.11.008

Cited by 116 publications

(53 citation statements)

References 17 publications

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“…Many patients can avail the facility of endovascular repair, with the increase in the availability of these types of devices [16][17][18]. The speed and the level of quality that will be attained will depend not only on aggressively pursuing new ideas, but also on cooperation and support from industry [11,19].…”

Section: Discussion Of the Findingsmentioning

confidence: 99%

Use of Flared Textile Cuffs in Fenestrated Stent–Grafts

Gokarneshan¹,

Rachel

Rajendran

et al. 2015

Emerging Research Trends in Medical Textiles

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Section: Discussion Of the Findingsmentioning

confidence: 99%

Use of Flared Textile Cuffs in Fenestrated Stent–Grafts

Gokarneshan¹,

Rachel

Rajendran

et al. 2015

Emerging Research Trends in Medical Textiles

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“…Unlike fenestrated stent grafts 13–15 and modular branched stent grafts, 9,10 the integrated stent graft we designed was implanted as a whole entity, with the branches already attached to its main body, and the deployment and release of the integrated stent graft were accomplished in one step. This integrated configuration can minimise the risk of the disintegration 16 .…”

Section: Discussionmentioning

confidence: 99%

Endovascular repair of the aortic arch in pigs by improved double-branched stent grafts

Chen

Wang

et al. 2013

annals

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IntroductionThis study aimed to evaluate the feasibility of total endovascular repair of the aortic arch in pigs using improved integrated double-branched stent grafts.MethodsImproved self-expandable stent grafts with a main body and two integrated branches were prepared for the repair of the aortic arch in six pigs. The feasibility of using these stent grafts was evaluated with arteriography, computed tomography (CT), computed tomography angiography (CTA) and autopsy three months following the procedure.ResultsThe double-branched stent grafts were placed successfully in the aortic arch in all six pigs. All pigs survived for at least three months and their biological behaviour was normal. Arteriography, CTA and animal necropsy revealed good fixation in all cases. Aortic valve function and coronary ostia remained intact, and CT of the head did not detect any lesion of cerebral infarction.ConclusionsEndovascular repair of the aortic arch with an integrated double-branched stent graft is safe and feasible in animal studies.

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“…Some centers have used branched devices exclusively while others have used fenestrations routinely. [16][17][18] Others utilize devices with a combination of branches and fenestrations. Published series have shown that fenestrations have an extremely high patency in the renal arteries while longer branches tend to kink over time as the aneurysm sac shrinks.…”

Section: N Discussionmentioning

confidence: 99%

Evolving Approaches to Thoracoabdominal Aortic Aneurysm Repair: Open Surgical and Endovascular Treatment Using Fenestrated/Branched Endografts

Manunga¹,

Sullivan²

2017

Journal of the Minneapolis Heart Institute Foundation

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Open repair remains the standard of care for the treatment of patients with thoracoabdominal aortic aneurysms. However, due to the magnitude of the operation and a typically older patient population with extensive comorbidities, less invasive methods of repair have received increasing acceptance-despite lack of long-term data on durability when compared with open surgical repair. One of the most dreaded complications of both open and endovascular thoracoabdominal aortic aneurysms repair (for patient and surgeon alike) remains the development of paraplegia, a complication that can be minimized with the techniques described herein.

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Treatment of Complex Aneurysmal Disease with Fenestrated and Branched Stent Grafts

Abstract: In selected patients, fenestrated and branched stents appear to be a safe and effective alternative to surgery for juxtarenal and thoracoabdominal aneurysms. The complication and mortality rates are low. The long-term durability of this procedure, however, needs to be proven.

Cited by 116 publications

References 17 publications

Use of Flared Textile Cuffs in Fenestrated Stent–Grafts

Use of Flared Textile Cuffs in Fenestrated Stent–Grafts

Endovascular repair of the aortic arch in pigs by improved double-branched stent grafts

Evolving Approaches to Thoracoabdominal Aortic Aneurysm Repair: Open Surgical and Endovascular Treatment Using Fenestrated/Branched Endografts

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