After right common carotid-to-left common carotid arterial bypass with an 8 mm polytetrafluoroethylene (PTFE) graft, TEVAR
with zone 1 landing was performed through the right femoral artery by surgical dissection.
There is likely to be a trend towards aggressive TEVAR
management in patients with BTAI.
Like the abdominal version, the thoracic system can be used during de novo (initial) TEVAR
procedures to enhance an endograft's inherent fixation and sealing mechanisms.
This case illustrates some of the obstacles many surgeons and facilities still face when trying to perform TEVAR
The chimney technique with selective or bail-out conditions was used to extend the proximal landing zone in TEVAR
can be used in select patients to repair type B dissections and thoracic aneurysms.
sup], Although several controversies continue to exist regarding the optimal treatment strategy for type B-AD, the recent interdisciplinary expert consensus document suggests that TEVAR
should be used for complicated cases with suitable anatomy to decrease the mortality and morbidity of open surgery, whereas medical management with close follow-up is the best strategy for uncomplicated type B-AD.
The patient underwent TEVAR
procedure because of Stanford type B aortic dissection 5 years ago.
According to the company, Zenith Alpha Thoracic will allow physicians to treat more patients with TEVAR
(thoracic endovascular aortic repair) because of its lower-profile introduction system and broad range of sizes.