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Background: Due to the heterogeneity of literature findings, stent type selection for the endovascular treatment of complex aorto-iliac occlusive disease remains challenging. The BELSTREAM study, a physician-initiated, prospective, multicenter, single-arm study, aims to report the safety and efficacy of the balloon expandable LifeStream Peripheral Stent Graft System (BD, Tempe, Arizona, USA) for the treatment of complex TASC C and D aorto-iliac artery lesions.

Methods: Seventy patients and 133 lesions were included at six Belgian institutions.

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Purpose: The use of surgeon-modified fenestrated endograft to treat a bleeding complication in the common iliac artery.

Technique: An Endurant limb graft was modified on back table in theater after planning the fenestration using a semi-automated centerline. The Endurant stent was planned to land flush at the aortic bifurcation.

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Article Synopsis
  • Patients with ostial coronary stents that protrude into the aorta risk potential stent injury during transcatheter aortic valve replacement (TAVR) procedures using balloon-expandable heart valves.
  • An 82-year-old male patient with a history of aortic stenosis and coronary artery interventions was evaluated, showing his RCA stent was close to the aorta, raising concerns about injury from balloon inflation during TAVR.
  • Successful TAVR was achieved without stent fracture, highlighting the importance of measuring the distance from the stent to the aortic wall and using techniques like kissing-balloon inflation to avoid injury.
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In Vitro Radiological Evaluation of Different Types of Chimney Stents Using a Silicon Flow Model with Adjustable Physiological Simulating Conditions.

Eur J Vasc Endovasc Surg

August 2023

Department of Vascular Surgery, Asklepios Clinic Langen, Langen, Germany, and Department of Vascular Surgery, University Hospital Bern, Bern, Switzerland.

Objective: To evaluate in vitro the performance of in vivo published covered or bare metal chimney stents (ChSs) in combination with the Endurant II abdominal endograft (Medtronic) as the only CE approved main graft (MG) in the treatment of juxtarenal abdominal aortic aneurysms with the chimney endovascular aneurysm repair (chEVAR) technique.

Methods: Bench top experimental study. A silicon flow model with adjustable physiological simulating conditions and patient based anatomy was used to test nine different MG-ChS combinations: Advanta V12 (Getinge); BeGraft (Bentley); VBX (Gore & Associates Inc.

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A Fenestrated Balloon Expandable Stent System for the Treatment of Aortoiliac Occlusive Disease.

J Eng Sci Med Diagn Ther

February 2023

Cardiovascular Research Innovation in Surgery & Engineering Center, and the Section of Vascular Surgery, Washington University School of Medicine, St. Louis, MO 63110.

In aortoiliac occlusive disease, atherosclerotic plaques can occlude the distal aortic bifurcation and proximal bilateral iliac artery and thus cause ischemia in the lower extremity. This is typically treated by restoring patency with balloon expandable stents. Stents are typically deployed in a "kissing stent" configuration into the bilateral iliac arteries and into the distal aortic bifurcation lumen to restore antegrade arterial flow.

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