Total Percutaneous Transfemoral Endovascular Treatment of Non-A Non-B Aortic Dissection

Weiguo Fu; Honglin Dong; Jia Hu; Wayne W Zhang

doi:10.1016/j.jaccas.2024.102756

Total Percutaneous Transfemoral Endovascular Treatment of Non-A Non-B Aortic Dissection

JACC Case Rep. 2024 Dec 4;30(1):102756. doi: 10.1016/j.jaccas.2024.102756. eCollection 2025 Jan 1.

Authors

Weiguo Fu¹, Honglin Dong², Jia Hu³, Wayne W Zhang^{4

5}

Affiliations

¹ Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
² Department of Vascular Surgery, 2nd Affiliated Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
³ Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
⁴ Chinese Institutes for Medical Research and Anzhen Hospital, Capital Medical University, Beijing, China.
⁵ Division of Vascular and Endovascular Surgery, University of Washington, Seattle, Washington, USA.

Abstract

Although open repair remains the mainstream treatment for aortic arch dissection, its surgical complexity and perioperative complications are significant. We developed a novel stentgraft system for less-invasive endovascular aortic arch repair. We successfully performed a total percutaneous transfemoral endovascular repair of aortic arch dissection using a novel off-the-shelf endograft system. This novel device allows endovascular aortic arch repair to be carried out through a transfemoral approach. Access is only needed from 3 percutaneous areas, bilateral femoral arteries and the right brachial artery. The key features of this system are a preshaped and steerable delivery system, outer and inner convertible innominate artery branch design, funnel-shaped inner branches, and a proximal tip capture mechanism.

Keywords: endovascular arch repair; non-A non-B aortic dissection; off-the-shelf endograft system; preloaded guidewire; total percutaneous transfemoral.

Publication types

Case Reports