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

Chenyang Qiu; Zhenjiang Li; Xiangchen Dai; Xinwu Lu; Qingsheng Lu; Xiaoqiang Li; Weimin Zhou; Pingfan Guo; Jun Pan; Donglin Li; Ziheng Wu; Hongkun Zhang

doi:10.3389/fcvm.2022.1056229

Frontiers in Cardiovascular Medicine (Dec 2022)

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

Chenyang Qiu,
Zhenjiang Li,
Xiangchen Dai,
Xinwu Lu,
Qingsheng Lu,
Xiaoqiang Li,
Weimin Zhou,
Pingfan Guo,
Jun Pan,
Donglin Li,
Ziheng Wu,
Hongkun Zhang

Affiliations

Chenyang Qiu: Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Zhenjiang Li: Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Xiangchen Dai: Department of Vascular Surgery, General Hospital, Tianjin Medical University, Tianjin, China
Xinwu Lu: Department of Vascular Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Qingsheng Lu: Department of Vascular Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, China
Xiaoqiang Li: Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated to Nanjing University Medical School, Nanjing, Jiangsu, China
Weimin Zhou: Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China
Pingfan Guo: Department of Vascular Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
Jun Pan: Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Donglin Li: Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Ziheng Wu: Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China
Hongkun Zhang: Department of Vascular Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China

DOI: https://doi.org/10.3389/fcvm.2022.1056229
Journal volume & issue: Vol. 9

Abstract

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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 in situ fenestrations (needle and laser) and fenestrations in vitro (direction inversion strategy and guidewire-assisted strategy), providing a technical reference to standardize the procedure and improve its results.

Published in Frontiers in Cardiovascular Medicine

ISSN: 2297-055X (Online)
Publisher: Frontiers Media S.A.
Country of publisher: Switzerland
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.frontiersin.org/journals/cardiovascular-medicine

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