Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2021 , Vol 30 , Issue 3
Zone 2 landing at different aortic pathologies: Surgeon-modified fenestrated stent graft
Ertekin Utku Ünal1, Hakkı Zafer İşcan2, Hayrettin Levent Mavioğlu2, Mehmet Ali Özatik2
1Department of Cardiovascular Surgery, Hitit University Erol Olçok Training and Research Hospital, Çorum, Turkey
2Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Turkey
DOI : 10.9739/tjvs.2021.906 The treatment of aortic pathologies is always challenging for vascular surgeons. Currently, thoracic endovascular aortic repair (TEVAR) is the first treatment option for thoracic aortic pathologies. Left subclavian artery (LSA) coverage during TEVAR can be selectively done; however, revascularization is preferred to reduce the risk of neurological or ischemic complications according to current guidelines. The chimney technique, hybrid operations, back table or in situ fenestrations are assistive TEVAR techniques. Herein, we present three different scenarios in zone 2 landing treated with surgeon-modified fenestrated stent graft (SMFSG). The use of SMFSG for LSA revascularization during TEVAR is feasible, cost-effective, fast, and effective. Durability is of great concern, and the most suitable treatment modality for zone 2 landing necessitates randomized-controlled studies and long-term durability issues. Keywords : Aortic aneurysm, aortic dissection, endovascular procedures, subclavian artery
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