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Novel insights into...
Novel insights into thoracic endografts technology for prevention of distal stent-graft induced new entry (dSINE) following endovascular repair of type B aortic dissections : from bench to bedside
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- D’Oria, Mario (författare)
- Division of Vascular and Endovascular Surgery, Department of Medical Surgical and Health Sciences, University of Trieste, Trieste, Italy
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- Wanhainen, Anders (författare)
- Umeå universitet,Kirurgi,Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden
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- Kolbel, Tilo (författare)
- German Aortic Center Hamburg, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany
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- Yoon, William (författare)
- Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden; Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University Hospitals Harrington Heart & Vascular Institute, Case Western Reserve University School of Medicine, OH, Cleveland, United States
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- Mani, Kevin (författare)
- Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden
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(creator_code:org_t)
- Taylor & Francis, 2024
- 2024
- Engelska.
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Ingår i: Expert Review of Medical Devices. - : Taylor & Francis. - 1743-4440 .- 1745-2422. ; 21:5, s. 391-398
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Introduction: Endovascular treatment of type B aortic dissections (TBAD) has currently acquired a primary therapeutic role when anatomically feasible. The main issue with thoracic endovascular aortic repair (TEVAR) for aortic dissection is the actual nature of the aortic wall, which is structurally compromised and more fragile. Indeed, a wealth of data have shown that TEVAR for TBAD will lead, in a substantial proportion of cases, to a device-related adverse event named distal stent-graft induced new entry (dSINE).Areas Covered: Currently available aortic stent-grafts have not been specifically devised for the treatment of aortic dissection. A novel dissection specific stent-graft (DSSG) was developed, which is a custom-made device based on the Zenith Alpha Thoracic platform (Cook Medical). The DSSG has several unique properties that, in principle, make its use optimal in TBAD patients.Expert Opinion: TEVAR in the setting of aortic dissections remains technically challenging. The occurrence of dSINE represents a unique complication in this scenario and may lead to high rates of aortic-related adverse events and need for secondary interventions. The use of a novel custom-made DSSG in the setting of chronic TBAD has been proven to be safe, feasible and effective. However, even this approach may fail to completely prevent dSINE formation.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Aortic disease
- aortic dissection
- complications
- dSINE
- stent-graft
- thoracic endovascular aortic repair
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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