Technical Aspects of Fenestrated Arch TEVAR With Preloaded Fenestration
Carlota Fernández Prendes, Ramin Banafsche, Jan Stana, Robert Binskin, Nikolaos Konstantinou, Tilo Kölbel, Nikolaos Tsilimparis
Abstract
Fenestrated thoracic endovascular aortic repair (f-TEVAR) has expanded the possibilities of endovascular arch repair, allowing treatment of pathologies involving the aortic arch that require sealing in Ishimaru zones 1 and 2. The growing number of implantations has increased physician experience and helped identify critical procedural points, mainly wire entanglement and device malrotation. Herein we describe a step-by-step approach to a f-TEVAR procedure with the Zenith fenestrated preloaded thoracic endograft, identifying potential pitfalls and suggesting problem-solving solutions.
Topics & Concepts
MedicineFenestrationArchAortic repairAortic archSurgeryLeft subclavian arteryOpen surgeryRadiologyAortaEngineeringCivil engineeringAortic Disease and Treatment ApproachesCongenital Heart Disease StudiesCardiac Structural Anomalies and Repair