Novel temporary endovascular shunt technique to assist in situ fenestration for endovascular reconstruction of the distal aortic arch Jiang Xiong, MD,

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Presentation transcript:

Novel temporary endovascular shunt technique to assist in situ fenestration for endovascular reconstruction of the distal aortic arch Jiang Xiong, MD, Wei Guo, MD, Xiaoping Liu, MD, Xin Jia, MD, Xiaohui Ma, MD, Lijun Wang, MD Journal of Vascular Surgery Volume 62, Issue 1, Pages 226-228 (July 2015) DOI: 10.1016/j.jvs.2013.12.030 Copyright © 2015 Terms and Conditions

Fig 1 Computed tomographic angiography before thoracic endovascular aortic repair (TEVAR) shows the eccentric pseudoaneurysm of zone 2. Journal of Vascular Surgery 2015 62, 226-228DOI: (10.1016/j.jvs.2013.12.030) Copyright © 2015 Terms and Conditions

Fig 2 Intraoperative and follow-up fluoroscopic image at thoracic endovascular aortic repair (TEVAR) shows (A) temporary endovascular shunt (TES) was performed with the use of 9F × 85 cm sheaths with a home-made oval side port (2 × 10 mm and 30 cm to the tip). B, Schematic diagram of TES. The pseudoaneurysm (PA) of zone 2 was excluded by stent graft (SG). The descending aorta–left subclavian artery (LSA) TES (right hollow arrow) and the descending aorta–left common carotid artery (LCCA) TES (left hollow arrow) were established by use of two 9F long sheaths with oval side ports (black arrow). Red arrows of the red solid line indicate the direction of blood flow in the TES. C, Sheaths for TES (hollow arrow) were placed, and delivery system containing a SG was advanced to zone 1. D, Completion angiography shows a well-sealed pseudoaneurysm free from endoleaks and anatomical reconstruction of LCCA and LSA. E, Six-month follow-up computed tomographic angiography shows complete exclusion of the pseudoaneurysm and no endoleaks, with patent LCCA and LSA. Journal of Vascular Surgery 2015 62, 226-228DOI: (10.1016/j.jvs.2013.12.030) Copyright © 2015 Terms and Conditions