Chimney stent
WebNov 24, 2024 · The stent allowed for flow access and perfusion of the coronary ostium following the prosthesis placement. Proper placement of the valve prosthesis and chimney stent was achieved using direct visualization through endoscopic, fluoroscopic, and echocardiographic imaging techniques as commonly implemented within the Visible … WebJul 14, 2024 · chimney stent length protruding in the aorta, are both shorter. 14 To date , no long-term follow-up or data on systematic imaging with coronary CT or angiography of chimney stents are available .
Chimney stent
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WebUsing a guide extension catheter protects the left main chimney stent by avoiding contact with all the necessary equipment for the percutaneous intervention. The balloon-assisting technique was used to facilitate the passing of the guide extension through the left main chimney stent. These cases will become more common as TAVR is gaining momentum. WebJul 9, 2014 · Chimney stent compression was observed in 3 patients and another stent was deployed inside the first one. A total of 62 chimney stents, including 55 bare and 7 covered stents, were deployed in 59 LSAs. The diameter of all chimney stents was 9.2 ± 1.3 mm (range 7–12 mm), and the length was 41.8 ± 6.5 mm (range 24–60 mm).
WebJul 30, 2016 · A, “Chimney” stent-graft to a lower pole left renal artery, with a 5-mm aortic seal zone distal to the most distal gutter. B, Endovascular abdominal aortic aneurysm repair including bilateral common iliac artery aneurysms, treated on each side with chimney/sandwich technique and stent-grafts to the internal iliac arteries. WebOct 6, 2024 · Coronary obstruction is a rare but well-recognized complication of TAVR with significant associated morbidity and mortality. 1 Techniques have been described to mitigate against this risk including chimney stenting. 2 Our case illustrates the unusual situation of the need to preserve access to a protuberant coronary stent.
WebJun 25, 2024 · The concept of parallel chimney stents was initially described as a “bailout” technique after inadvertent renal artery coverage during endovascular abdominal aortic repair . The direction of flow is antegrade in a chimney graft and retrograde in periscope technique. The main aortic stent is inserted via femoral access into the pre-defined ... WebAug 1, 2024 · Description. The gutter-free chimney stent graft consists of an inner stent and an outer skirt fabric to form an integrated structure. The inner and outer layers are nickel-titanium self-expanding skeletal structures with double polytetrafluoroethylene coating. The outer skirt fabric fits the gutter to prevent endoleak, and the proximal inner …
WebSep 1, 2024 · In all, 48 stents were used to bridge the fenestration to the LSA: 26 covered stents (25 with ISNF and 1 chimney) and 22 bare stents. In addition, 15 bridging stents (8 covered and 7 bare) were used to preserve the LCCA , while 6 LCCAs and 2 IAs had no bridging stent. The mean fluoroscopy times, defined as the period of time between the …
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