Technical details of thoracic endovascular aortic repair with fenestrations for thoracic aortic pathologies involving the aortic arch: A Chinese expert consensus

Thoracic aortic pathologies involving the aortic arch are a great challenge for vascular surgeons. Maintaining the patency of supra-aortic branches while excluding the aortic lesion remains difficult. Thoracic EndoVascular Aortic Repair (TEVAR) with fenestrations provides a feasible and effective ap...

Full description

Saved in:
Bibliographic Details
Published in:Frontiers in cardiovascular medicine 2022-12, Vol.9, p.1056229-1056229
Main Authors: Qiu, Chenyang, Li, Zhenjiang, Dai, Xiangchen, Lu, Xinwu, Lu, Qingsheng, Li, Xiaoqiang, Zhou, Weimin, Guo, Pingfan, Pan, Jun, Li, Donglin, Wu, Ziheng, Zhang, Hongkun
Format: Article
Language:English
Subjects:
Cardiovascular Medicine
device
fenestrations
standard procedure protocol
technical details
thoracic endovascular aortic repair
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Thoracic aortic pathologies involving the aortic arch are a great challenge for vascular surgeons. Maintaining the patency of supra-aortic branches while excluding the aortic lesion remains difficult. Thoracic EndoVascular Aortic Repair (TEVAR) with fenestrations provides a feasible and effective approach for this type of disease. The devices needed in the procedure are off-the-shelf, with promising results reported in many medical centers. Up until now, there have been no guidelines focusing exclusively on the details of the TEVAR technique with fenestrations. Experts from China have discussed the technical parts of both fenestrations (needle and laser) and fenestrations (direction inversion strategy and guidewire-assisted strategy), providing a technical reference to standardize the procedure and improve its results.
ISSN:2297-055X
2297-055X
DOI:10.3389/fcvm.2022.1056229