Endovascular Repair of Type a Dissection Using Thoracic Stent Graft With Innominate Artery Flaring To Correct for Length Mismatch

Authors

• Aidin Baghbani-Oskouei
• Lucas Ruiter Kanamori
• Safa Savadi
• Steven Maximus
• Thanila A Macedo
• Anthony Estrera
• Salman A Arain
• Gustavo S Oderich

Language

English

Publication Date

6-1-2025

Journal

Journal of Vascular Surgery Cases, Innovations and Techniques

DOI

10.1016/j.jvscit.2025.101727

PMID

40959462

PMCID

PMC12435020

PubMedCentral® Posted Date

1-15-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Type A aortic dissection is the most common aortic catastrophe posing challenges for endovascular repair owing to the fragile aortic wall, proximity to the aortic valve, coronaries, and supra-aortic trunks. While open surgical repair remains the gold standard, endovascular repair is considered in select high-risk patients who meet anatomical criteria, including more than 10 mm length between sinotubular junction to primary tear, aortic diameter of less than 40 mm, and suitable length between sinotubular junction and innominate artery. This illustrated video and case presentation address a modified technique using stent graft flaring of the innominate artery to adjust for length mismatch in the ascending aorta.

Keywords

Ascending aorta, Innominate flaring, Endovascular aortic repair, Aortic dissection, Aneurysm

Published Open-Access

yes

Recommended Citation

Baghbani-Oskouei, Aidin; Kanamori, Lucas Ruiter; Savadi, Safa; et al., "Endovascular Repair of Type a Dissection Using Thoracic Stent Graft With Innominate Artery Flaring To Correct for Length Mismatch" (2025). Faculty, Staff and Student Publications. 3523.
https://digitalcommons.library.tmc.edu/uthmed_docs/3523