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Antegrade Fenestration During Thoracic Endovascular Aortic Repair for Preserving Isolated Left Vertebral Artery.
EJVES Vasc Forum
October 2024
Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Article Synopsis
- An isolated left vertebral artery (ILVA) is often affected by aortic arch pathologies, and preserving its blood flow during endovascular repair can be challenging, with no clear consensus on the best strategy.
- This case report details a successful endovascular procedure in a 72-year-old man with an ILVA, where a novel technique called antegrade needle-assisted fenestration was used to revascularize the artery without traditional surgical methods.
- The patient had a favorable outcome, with follow-up imaging showing a patent ILVA and good aortic remodeling, suggesting this technique could be a valuable option for similar cases.
A latent bleeding complication in ipsilateral common femoral puncture involving delayed diagnosis: a case report.
BMC Cardiovasc Disord
July 2024
Department of Cardiovascular Medicine, Kyoto Chubu Medical Center, 25, Yagi-Ueno, Yagi-cho, Nantan City, Japan.
Background: The trans femoral ipsilateral approach is often adopted for endovascular treatment (EVT) for better steerability of guidewires or better device deliverability. However, contrary to the trans femoral contralateral approach, ipsilateral antegrade puncture sometimes causes peculiar bleeding complications.
Case Presentation: A 76-year-old female underwent EVT for chronic occlusion of the left superficial femoral artery (SFA) via the ipsilateral antegrade approach.
Arterial embolization via retrograde approach using steerable microcatheter and triaxial system.
Minim Invasive Ther Allied Technol
June 2024
Department of Radiology, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan.
We report a case of postoperative pseudoaneurysm, successfully treated with selective arterial embolization, using a steerable microcatheter and triaxial system retrograde approach. A pseudoaneurysm was detected in the dorsal pancreatic artery, a severely narrow and steeply inverted branch of the superior mesenteric artery, making microcatheter insertion the antegrade approach challenging. However, a steerable microcatheter was advanced beyond the orifice and the tip was reversed, changing the route to retrograde allowing for easy insertion of the microguidewire.
View Article and Find Full Text PDFIntegration of a Custom-Made Fenestration to Simplify Acute Reno-Visceral In Situ Aortic Repair.
J Endovasc Ther
October 2023
Vascular Center, Department of Thoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden.
Purpose: To illustrate the technique of antegrade in situ laser fenestration (ISLF) on a predesign custom-manufactured stent-graft with single reinforced fenestration for use in emergency endovascular repair of complex abdominal aortic aneurysms (AAAs).
Technique: A short custom-made device (CMD) fenestrated graft was predesigned with a single preloaded 8 mm strut-free fenestration at 12 o'clock position. A modified preloaded system was used to allow unilateral access from the distal port if necessary.
The Development of Totally Percutaneous Aortic Arch Repair With Inner-Branch Endografts: Experience From 2 Centers.
J Endovasc Ther
July 2023
Aortic Center, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint-Joseph, Université Paris-Saclay, Paris, France.
Objective: The main objective of this study is to present the experience of 2 centers undertaking total percutaneous aortic arch-branched graft endovascular repair using combination of femoral and axillary routes. The report summarizes the procedural steps, outcomes achieved, and the benefits of this approach, which eliminates the need for direct open surgical exposure of the carotid, subclavian, or axillary arteries, thereby reducing the unnecessary associated surgical risks.
Methods: Retrospectively collected data of 18 consecutive patients (15M:3F) undergoing aortic arch endovascular repair using a branched device between February 2021 and June 2022 at 2 aortic units.
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