Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graft
ObjectiveThe main purpose of this study was to evaluate the safety and efficacy of Castor single-branched stent-graft combined with fenestrated technique in treatment of thoracic aortic disease (TAD) with unfavorable proximal landing area (PLZ) and isolated left vertebral artery (ILVA).MethodsFrom J...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1168180/full |
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| author | Zhenhua Wang Zhenhua Wang Changcun Fang Changcun Fang Han Song Han Song Duoliang Wei Duoliang Wei Xiangbin Meng Xiangbin Meng Xiao Bai Xiao Bai Chunxiao Liu Chunxiao Liu Xin Zhao Xin Zhao |
| author_facet | Zhenhua Wang Zhenhua Wang Changcun Fang Changcun Fang Han Song Han Song Duoliang Wei Duoliang Wei Xiangbin Meng Xiangbin Meng Xiao Bai Xiao Bai Chunxiao Liu Chunxiao Liu Xin Zhao Xin Zhao |
| author_sort | Zhenhua Wang |
| collection | DOAJ |
| description | ObjectiveThe main purpose of this study was to evaluate the safety and efficacy of Castor single-branched stent-graft combined with fenestrated technique in treatment of thoracic aortic disease (TAD) with unfavorable proximal landing area (PLZ) and isolated left vertebral artery (ILVA).MethodsFrom January 2018 to March 2022, 8 patients with TAD (6 patients with type B aortic dissections, 1 patient with type B intramural hematomas, and 1 patient with thoracic aortic aneurysm) underwent thoracic endovascular aortic repair with fenestrated Castor stent-graft due to the existence of ILVA and unfavorable PLZ. Demographic characteristics, surgical details, postoperative complications, follow-up and postoperative CTA imaging results were collected and analyzed.ResultsThe primary technical success rate was 100%. The mean operation time was 115 min (range, 70–180 min). All the left subclavian arteries (LSAs) and ILVAs of the eight patients were revascularized by fenestrated Castor stent-grafts. During the follow-up period, no deaths and complications were observed. No internal leakage, aortic rupture, retrograde type A dissection were found on computed tomography angiography. All of the LSAs and ILVAs maintained patency without stenosis.ConclusionCastor single-branched stent-graft implantation combined with fenestration technique may be safe and feasible for TAD patients with ILVA and unfavorable PLZ. |
| first_indexed | 2024-03-12T13:30:05Z |
| format | Article |
| id | doaj.art-0ea1a4cc66ba4a118eaf734fe23657d3 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-12T13:30:05Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-0ea1a4cc66ba4a118eaf734fe23657d32023-08-24T14:17:19ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-08-011010.3389/fcvm.2023.11681801168180Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graftZhenhua Wang0Zhenhua Wang1Changcun Fang2Changcun Fang3Han Song4Han Song5Duoliang Wei6Duoliang Wei7Xiangbin Meng8Xiangbin Meng9Xiao Bai10Xiao Bai11Chunxiao Liu12Chunxiao Liu13Xin Zhao14Xin Zhao15Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, ChinaInstitute of Thoracoscopy in Cardiac Surgery, Shandong UniversityObjectiveThe main purpose of this study was to evaluate the safety and efficacy of Castor single-branched stent-graft combined with fenestrated technique in treatment of thoracic aortic disease (TAD) with unfavorable proximal landing area (PLZ) and isolated left vertebral artery (ILVA).MethodsFrom January 2018 to March 2022, 8 patients with TAD (6 patients with type B aortic dissections, 1 patient with type B intramural hematomas, and 1 patient with thoracic aortic aneurysm) underwent thoracic endovascular aortic repair with fenestrated Castor stent-graft due to the existence of ILVA and unfavorable PLZ. Demographic characteristics, surgical details, postoperative complications, follow-up and postoperative CTA imaging results were collected and analyzed.ResultsThe primary technical success rate was 100%. The mean operation time was 115 min (range, 70–180 min). All the left subclavian arteries (LSAs) and ILVAs of the eight patients were revascularized by fenestrated Castor stent-grafts. During the follow-up period, no deaths and complications were observed. No internal leakage, aortic rupture, retrograde type A dissection were found on computed tomography angiography. All of the LSAs and ILVAs maintained patency without stenosis.ConclusionCastor single-branched stent-graft implantation combined with fenestration technique may be safe and feasible for TAD patients with ILVA and unfavorable PLZ.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1168180/fullisolated left vertebral arteryunfavorable proximal landing zonecastor single-branched stent-graftfenestrated techniquethoracic aortic disease |
| spellingShingle | Zhenhua Wang Zhenhua Wang Changcun Fang Changcun Fang Han Song Han Song Duoliang Wei Duoliang Wei Xiangbin Meng Xiangbin Meng Xiao Bai Xiao Bai Chunxiao Liu Chunxiao Liu Xin Zhao Xin Zhao Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graft Frontiers in Cardiovascular Medicine isolated left vertebral artery unfavorable proximal landing zone castor single-branched stent-graft fenestrated technique thoracic aortic disease |
| title | Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graft |
| title_full | Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graft |
| title_fullStr | Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graft |
| title_full_unstemmed | Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graft |
| title_short | Endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent-graft |
| title_sort | endovascular repair of thoracic aortic disease with isolated left vertebral artery and unfavorable proximal landing zone using fenestrated castor stent graft |
| topic | isolated left vertebral artery unfavorable proximal landing zone castor single-branched stent-graft fenestrated technique thoracic aortic disease |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1168180/full |
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