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J Zhejiang Univ (Med Sci)  2018, Vol. 47 Issue (6): 617-622    DOI: 10.3785/j.issn.1008-9292.2018.12.09
Progress on in situ fenestration during thoracic endovascular aortic repair
XIANG Yilang(),WU Ziheng,ZHANG Hongkun*()
Department of Vascular Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China
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Endovascular aortic arch repair remains challenging due to the complicated anatomy and the involved vital branches. Off-label techniques emerged during the last decade, including endografts with parallel stents (known as Chimney, Periscope, Sandwich), surgeon-modified endografts, and various other reported techniques. In situ fenestration of standard endografts represents another off-label endovascular means to maintain perfusion to aortic side branches located in the excluded area. Its principle is based on fenestration of an endograft following its deployment inside the vascular system. As data are emerging regarding in situ fenestration, the aim of this article is to review recent progress of technical descriptions, in vitro and clinic results of in situ fenestration from the available literature.

Key wordsAneurysm, dissecting/surgery      Blood vessel prosthesis implantation      Stents      Aorta, thoracic/surgery      Lasers      Review     
Received: 14 August 2018      Published: 15 March 2019
CLC:  R654  
Corresponding Authors: ZHANG Hongkun     E-mail:;
Cite this article:

XIANG Yilang,WU Ziheng,ZHANG Hongkun. Progress on in situ fenestration during thoracic endovascular aortic repair. J Zhejiang Univ (Med Sci), 2018, 47(6): 617-622.

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关键词: 动脉瘤, 夹层/外科学,  血管假体植入,  支架,  主动脉, 胸/外科学,  激光,  综述 
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