Utility of dual longitudinal diameter-reducing ties in aortic arch thoracic endovascular aortic repair

Kazimierczak, Arkadiusz; Rynio, Paweł; Jędrzejczak, Tomasz; Lewandowski, Maciej; Gutowski, Piotr

doi:10.5114/aic.2019.90224

Cited by 8 publications

(11 citation statements)

References 10 publications

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“…Holographic technologies can significantly speed up the assessment of the patient's vascular anatomy by visualizing a virtual 3D model [22]. However, 3D printing has an advantage in the possibility of conducting bench tests, in which it is necessary to make real models, which may influence the decision on the selection of the size and type of the stent graft, including its fenestration [23,24]. The supporting material that can help achieve complex shapes can be difficult to remove when printing with a single extruder printer.…”

Section: Discussionmentioning

confidence: 99%

3D printing in the preoperative planning and endovascular treatment of splenic artery aneurysm. Own clinical experience and literature review.

Soliński¹,

Celer²,

Dyś³

et al. 2021

Videosurgery and Other Miniinvasive Techniques

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Splenic artery aneurysms (SAAs) are the most common visceral aneurysms. Endovascular treatment of SAAs is increasingly used. Appropriate preoperative imaging of aneurysms is crucial to treatment planning. The case of a patient with accidentally detected SAA on angio-CT examination was the basis for implementation of 3D printing to prepare an artery model. The 3D model made it easier to qualify for endovascular treatment of the SAA and helped to visualize its morphology. An excellent treatment effect was achieved. 3D printing provides an opportunity for better visualization of SAA anatomy, which has a direct impact on the choice of minimally invasive treatment method.

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Section: Discussionmentioning

confidence: 99%

3D printing in the preoperative planning and endovascular treatment of splenic artery aneurysm. Own clinical experience and literature review.

Soliński¹,

Celer²,

Dyś³

et al. 2021

Videosurgery and Other Miniinvasive Techniques

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show abstract

“…ETAG is used when it is necessary to pull the graft into the arch [5,6]. In urgent cases, when (1) open surgery is contraindicated and custom-made inner branch devices are not available or (2) these devices cannot be implanted into the arch due to an artificial aortic valve or lack of suitable landing zone (e.g. by Arch Branch Endovascular Graft from Cook Medical, Brisbane, Australia), the procedure described using PMEG is feasible [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…Their edges were lined with the wire cut out from the snare, strengthening the fenestration edge and marking the holes. A double lateral (longitudinal) tie made of two V-18 Control Wire Guidewires (Boston Scientific, USA) was used to optimize the rotation of the systems when inserting them into the aortic arch ( Photo 2 E ) [ 1 ]. The idea was that the planned holes should be opposite the external curvature of the curve of the aortic arch, both when inserting the delivery system into the curve and after the partial opening of the stent graft.…”

Section: Methodsmentioning

confidence: 99%

Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair.

Jędrzejczak¹,

Rynio²,

Lewandowski³

et al. 2020

Videosurgery and Other Miniinvasive Techniques

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An externalized transapical guidewire (ETAG) technique has been used for safe delivery of high-profile devices through a tortuous aorta to zone 0, which is currently precluded after mechanical artificial aortic valve replacement (AVR). The aim of the study was to report one center’s experience (based on 3 cases) of a unique modification to the ETAG technique used for the first time during total endovascular aortic arch repair after AVR. This report contains technical notes regarding a new method of steering the guidewire from the apex inside the artificial aortic valve during total endovascular aortic arch repair after AVR and the details crucial in preparation for this mini-invasive procedure. As a conclusion, the ETAG technique could be performed after mechanical AVR with active positioning of the guidewire carried out under the control of transesophageal echocardiography.

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“…The essential modifications include fenestrations, 1 branches and inner branches, 2 and reducing diameter ties. 3 Devices from Cook, 4 Medtronic, 1 Gore, 5 and LifeTech 6 have been successfully used as platforms for these modifications.…”

mentioning

confidence: 99%

Commentary: Three-Dimensional Printed Aortic Templates for Physician-Modified Stent-Grafts: Another Boost to the Quality of These Devices

Rynio

2020

J Endovasc Ther

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Utility of dual longitudinal diameter-reducing ties in aortic arch thoracic endovascular aortic repair

Cited by 8 publications

References 10 publications

3D printing in the preoperative planning and endovascular treatment of splenic artery aneurysm. Own clinical experience and literature review.

3D printing in the preoperative planning and endovascular treatment of splenic artery aneurysm. Own clinical experience and literature review.

Externalized transapical guidewire technique after artificial aortic valve replacement during complete endovascular aortic arch repair.

Commentary: Three-Dimensional Printed Aortic Templates for Physician-Modified Stent-Grafts: Another Boost to the Quality of These Devices

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