Related Experiment Video
Updated: Nov 9, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Technical Aspects of Fenestrated Arch TEVAR With Preloaded Fenestration
Carlota F Prendes1, Ramin Banafsche1, Jan Stana1
1Department of Vascular Surgery, Ludwig-Maximilian University Hospital, Munich, Germany.
Abstract:
Fenestrated thoracic endovascular aortic repair (f-TEVAR) has expanded the possibilities of endovascular arch repair, allowing treatment of pathologies involving the aortic arch that require sealing in Ishimaru zones 1 and 2. The growing number of implantations has increased physician experience and helped identify critical procedural points, mainly wire entanglement and device malrotation. Herein we describe a step-by-step approach to a f-TEVAR procedure with the Zenith fenestrated preloaded thoracic endograft, identifying potential pitfalls and suggesting problem-solving solutions.
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