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• W2044621092 abstract "ObjectiveTo report our early experience with total endovascular repair of aortic-arch aneurysm using double chimney-grafts and present a literature overview.Patients and methodsThe double chimney-graft technique was performed in six male patients with contained ruptured aneurysm, dissecting aneurysm, pseudoaneurysm, penetrating aortic ulcer and proximal endoleak after TEVAR. Furthermore, a systematic electronic health database search of available articles was conducted according to PRISMA Guidelines.ResultsIn all cases, all supra-aortic vessels had to be covered with aortic stent-graft to receive a sufficient landing and sealing zone. Chimney-grafts were introduced to the ascending aorta slightly deeper than the thoracic stent-grafts through the cut-down exposure of the common carotid arteries. We deployed aortic stent-grafts and self-expandable chimney-grafts simultaneously and successfully. The patient with contained ruptured aneurysm died due to cardiopulmonary failure on day 19, the others survived. We detected two ‘gutter’ endoleaks. As a result of literature search, 12 articles met the inclusion criteria. Two articles described the double-chimney technique.ConclusionsThe use of double chimney-grafts is possible in high-risk patients where the proximal landing zone of endograft would be in zone 0. The available data is still limited. The long-term follow-up remains to be evaluated with the increased number of patients treated." @default.
• W2044621092 created "2016-06-24" @default.
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• W2044621092 date "2013-01-01" @default.
• W2044621092 modified "2023-10-18" @default.
• W2044621092 title "Triple-barrel Graft as a Novel Strategy to Preserve Supra-aortic Branches in Arch-TEVAR Procedures: Clinical Study and Systematic Review" @default.
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• W2044621092 doi "https://doi.org/10.1016/j.ejvs.2012.09.023" @default.
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