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- W4221022615 abstract "We sought to demonstrate the feasibility of laser techniques in treating type Ia endoleaks (TIaEs) of the left subclavian artery (LSA). The laser procedure to create the stent graft includes seven stages: (1) image fusion, (2) stent graft placement at the level of the target arteries, (3) catheterization through the left brachial artery with the TourGuide steerable sheath (Medtronic, Dublin, Ireland), (4) use of a 0.9-mm laser catheter (Spectranetics, Colorado Springs, Colo) for stent graft perforation, (5) predilatation with a 2.5-mm cutting balloon, (6) a second predilatation with a 4× 20 balloon, and (7) stenting with an Advanta V12 stent (Getinge, Gothenburg, Sweden) and flaring with a 10 × 20 balloon. We performed a laser procedure at the renovisceral artery level in September 2016 and have 63 cases, including 4 for the LSA (20 for TIaEs, including 2 for the LSA). A 68-year-old female patient with a 60-mm diameter proximal thoracic aneurysm diagnosed with a TIaE as a complication morbidity of thoracic endovascular aneurysm repair. The TIaE had been caused by a very short and irregularly shaped upper neck. Precise sizing was prepared for laser fenestration to the LSA procedure. Two Valiant stent grafts (Medtronic) were deployed just below the common brachiocephalic trunk. Catheterization was performed through the left brachial artery. Next, laser perforation of the stent graft was performed, and an Advanta V12 stent was deployed to the LSA. Intraoperative angiography and postoperative computed tomography showed exclusion of the TIaE and patency of the stent to the LSA. We found that the advantages of laser-made vs custom-made stent grafts in the treatment of TIaE after thoracic endovascular aneurysm repair include immediate availability, easier sizing, simpler performance, and less expensive." @default.
- W4221022615 created "2022-04-03" @default.
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- W4221022615 date "2022-04-01" @default.
- W4221022615 modified "2023-10-16" @default.
- W4221022615 title "Treatment of Type Ia Endoleak Using Laser Fenestration for Placement of an Endograft to the Left Subclavian Artery" @default.
- W4221022615 doi "https://doi.org/10.1016/j.jvs.2022.01.060" @default.
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