Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissection
In the United States, current endovascular repair of proximal arch pathology is limited by patient anatomy, and the availability of Food and Drug Administration (FDA) approved devices. Through the first FDA-authorized Compassionate Use (CU) of a modified scalloped Terumo RelayPro Plus, we describe a...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-06-01
|
| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687823000363 |
| _version_ | 1797788294826688512 |
|---|---|
| author | Georgina Pappas Michael Stoner Craig Narins Cynthia Westfall Amanda Casanova Doran Mix |
| author_facet | Georgina Pappas Michael Stoner Craig Narins Cynthia Westfall Amanda Casanova Doran Mix |
| author_sort | Georgina Pappas |
| collection | DOAJ |
| description | In the United States, current endovascular repair of proximal arch pathology is limited by patient anatomy, and the availability of Food and Drug Administration (FDA) approved devices. Through the first FDA-authorized Compassionate Use (CU) of a modified scalloped Terumo RelayPro Plus, we describe an endovascular repair of a type Ia endoleak, in a patient with bovine arch anatomy, with distal arch aneurysmal degeneration after an open type A dissection repair and failed conventional TEVAR. Further investigation is warranted to determine whether the increased effective seal zone provided by a scalloped thoracic endograft decreased the risk of type Ia endoleak and subsequent dissection-related aneurysmal degeneration in the aortic arch. |
| first_indexed | 2024-03-13T01:34:32Z |
| format | Article |
| id | doaj.art-00c7d495682d4b09893b38226f20b830 |
| institution | Directory Open Access Journal |
| issn | 2772-6878 |
| language | English |
| last_indexed | 2024-03-13T01:34:32Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj.art-00c7d495682d4b09893b38226f20b8302023-07-04T05:12:09ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782023-06-0132100194Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissectionGeorgina Pappas0Michael Stoner1Craig Narins2Cynthia Westfall3Amanda Casanova4Doran Mix5University of Rochester, Department of Surgery, Division of Vascular Surgery, University of Rochester School and Medicine and Dentistry, 140 Canal View Blvd, Ste 103, Rochester, NY 14623, United StatesUniversity of Rochester, Department of Surgery, Division of Vascular Surgery, University of Rochester School and Medicine and Dentistry, 140 Canal View Blvd, Ste 103, Rochester, NY 14623, United StatesUniversity of Rochester, Department of Surgery, Division of Vascular Surgery, University of Rochester School and Medicine and Dentistry, 140 Canal View Blvd, Ste 103, Rochester, NY 14623, United StatesUniversity of Rochester, Department of Surgery, Division of Vascular Surgery, University of Rochester School and Medicine and Dentistry, 140 Canal View Blvd, Ste 103, Rochester, NY 14623, United StatesTerumo Aortic, Research and Development, 799 International Parkway, Sunrise, Florida 33325, United StatesUniversity of Rochester, Department of Surgery, Division of Vascular Surgery, University of Rochester School and Medicine and Dentistry, 140 Canal View Blvd, Ste 103, Rochester, NY 14623, United States; Corresponding author.In the United States, current endovascular repair of proximal arch pathology is limited by patient anatomy, and the availability of Food and Drug Administration (FDA) approved devices. Through the first FDA-authorized Compassionate Use (CU) of a modified scalloped Terumo RelayPro Plus, we describe an endovascular repair of a type Ia endoleak, in a patient with bovine arch anatomy, with distal arch aneurysmal degeneration after an open type A dissection repair and failed conventional TEVAR. Further investigation is warranted to determine whether the increased effective seal zone provided by a scalloped thoracic endograft decreased the risk of type Ia endoleak and subsequent dissection-related aneurysmal degeneration in the aortic arch.http://www.sciencedirect.com/science/article/pii/S2772687823000363Thoracic endovascular aortic repairEndoleakStentsDissecting aneurysmPersonalized medicine |
| spellingShingle | Georgina Pappas Michael Stoner Craig Narins Cynthia Westfall Amanda Casanova Doran Mix Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissection Annals of Vascular Surgery - Brief Reports and Innovations Thoracic endovascular aortic repair Endoleak Stents Dissecting aneurysm Personalized medicine |
| title | Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissection |
| title_full | Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissection |
| title_fullStr | Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissection |
| title_full_unstemmed | Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissection |
| title_short | Use of a modified proximal scalloped aortic arch endograft for the management of a type Ia endoleak after failed endovascular repair of an aortic dissection |
| title_sort | use of a modified proximal scalloped aortic arch endograft for the management of a type ia endoleak after failed endovascular repair of an aortic dissection |
| topic | Thoracic endovascular aortic repair Endoleak Stents Dissecting aneurysm Personalized medicine |
| url | http://www.sciencedirect.com/science/article/pii/S2772687823000363 |
| work_keys_str_mv | AT georginapappas useofamodifiedproximalscallopedaorticarchendograftforthemanagementofatypeiaendoleakafterfailedendovascularrepairofanaorticdissection AT michaelstoner useofamodifiedproximalscallopedaorticarchendograftforthemanagementofatypeiaendoleakafterfailedendovascularrepairofanaorticdissection AT craignarins useofamodifiedproximalscallopedaorticarchendograftforthemanagementofatypeiaendoleakafterfailedendovascularrepairofanaorticdissection AT cynthiawestfall useofamodifiedproximalscallopedaorticarchendograftforthemanagementofatypeiaendoleakafterfailedendovascularrepairofanaorticdissection AT amandacasanova useofamodifiedproximalscallopedaorticarchendograftforthemanagementofatypeiaendoleakafterfailedendovascularrepairofanaorticdissection AT doranmix useofamodifiedproximalscallopedaorticarchendograftforthemanagementofatypeiaendoleakafterfailedendovascularrepairofanaorticdissection |