Department of Vascular Surgery, Ludwig-Maximilian University Hospital, Munich, Germany.
Cook Medical, Brisbane, Queensland, Australia.
J Endovasc Ther. 2021 Aug;28(4):510-518. doi: 10.1177/15266028211007469. Epub 2021 Apr 9.
Fenestrated thoracic endovascular aortic repair (f-TEVAR) has expanded the possibilities of endovascular arch repair, allowing treatment of pathologies involving the aortic arch that require sealing in Ishimaru zones 1 and 2. The growing number of implantations has increased physician experience and helped identify critical procedural points, mainly wire entanglement and device malrotation. Herein we describe a step-by-step approach to a f-TEVAR procedure with the Zenith fenestrated preloaded thoracic endograft, identifying potential pitfalls and suggesting problem-solving solutions.
开窗胸主动脉腔内修复术（f-TEVAR）拓宽了胸主动脉腔内修复的可能性，为需要在 Ishimaru 1 区和 2 区封闭的主动脉弓病变的治疗提供了可能。随着植入物数量的增加，医生的经验也在不断增加，并有助于确定关键的手术要点，主要是导丝缠绕和器械旋转不良。在此，我们描述了使用 Zenith 开窗预装胸主动脉腔内修复支架进行 f-TEVAR 手术的分步方法，确定了潜在的陷阱并提出了解决方案。
