Vasc Spec Int.  2021 Jun;37(2):14. 10.5758/vsi.210025.

Insights on Bridging Stent Grafts in Fenestrated and Branched Aortic Endografting

Affiliations
  • 1Division of Vascular Surgery, Department of Surgery, University of California-Davis, Sacramento, CA, USA
  • 2Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
  • 3Division of Cardiothoracic Surgery, Department of Surgery, University of California-Davis, Sacramento, CA
  • 4Division of Vascular Surgery, Department of Surgery, NorthShore University HealthSystem, University of Chicago Pritzker School of Medicine, Evanston, IL, USA

Abstract

Major branches of the aortic arch and visceral aorta pose a particular challenge for endovascular repair of aneurysms involving these regions. To preserve perfusion through these essential branches, fenestrated and branched endografts have been used. Current fenestrated and branched aortic endografts have evolved into modular devices in which the aortic main body provides appropriate access to the target branch vessel either through reinforced fenestrations or directional cuffs as the hinge point for bridging stent grafts (BSGs). BSGs are used to connect the aortic main body and target branch vessel, and must provide both unhindered flow and a seal. Appropriate selection of BSG for target vessels in branched and fenestrated endovascular aortic repair is critical for technical success and durability. At present, there are no dedicated devices for use as BSGs, and a variety of stent grafts are currently used off-label. In this report, we review the available published series on the performance of presently available BSGs in relation to their design and selection.

Keyword

Branched; Bridging; Endovascular; Fenestrated; Stent
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