endovascular table

Table of Contents Section 1: Surgical and Endovascular Techniques 1. Interventions 316 patients were randomised to the endovascular strategy (275 confirmed ruptures, 174 anatomically suitable for endovascular repair) and 297 to open repair (261 confirmed ruptures). Main outcome measures 30 day mortality, with 24 hour and in-hospital mortality, costs, and time and place of discharge as secondary outcomes. Ataşehir Bulvarı Atatürk Mah. The adequate diameter should be approximately 2 mm and as straight a configuration as possible to either the cephalic or basilic vein is favorable. Background Randomized trials have shown reductions in perioperative mortality and morbidity with endovascular repair of abdominal aortic aneurysm, as compared with open surgical repair. Similarly, all CPT, ICD-10 and HCPCS codes are supplied for informational purposes only and represent no … La présente invention se rapporte à un dispositif endovasculaire recouvert d'une membrane biodégradable. Open surgery techniques, as well as endovascular techniques are used to treat vascular diseases. QuadroStarPRO is the table-top diode laser system with a compact and ergonomic design, dedicated to phlebology and endovascular laser treatments, but also successfully used for a wider range of endosurgical applications thanks to its versatility. Endovascular Removal of Thrombus and Right Heart Masses Using the AngioVac System: Results of 234 Patients from the Prospective, Multicenter Registry of AngioVac Procedures in Detail (RAPID) Author links open overlay panel John M. Moriarty MD, FSIR a Victoria Rueda MPH a Millie Liao DO c Grace Hyun J. Kim PhD b Paul J. Rochon MD d Mohamed A. Zayed MD, PhD e David Lasorda DO f … Pages 1-12 . Anatomic Requirements for Endovascular Repair of TAA. Device Mechanism Technical consideration Regulatory status in USA; Ekosonic: USAT + 5F catheter: 510 (K) clearance for PA infusion : Uifuse: CDL * 4-5 F catheter: 510(K) clearance for thrombus anywhere in … Stream Ep. Epub 2014 Sep 5. Setting 30 vascular centres (29 UK, 1 Canadian), 2009-13. In 1997, an initial set of reporting standards for studies directed at the endovascular repair of the infrarenal aortic aneurysm was introduced by the Ad Hoc Committee for Standardized Reporting Practices in Vascular Surgery of the Society for Vascular Surgery/International Society for Cardiovascular Surgery. Endovascular treatment can be initiated (femoral puncture) between 6 and 16 hours of stroke onset. Stroke onset is defined as the time the patient was last known to be at their neurologic baseline (wake-up strokes are eligible if they meet the above time limits). ISR G3 Interventional / Endovascular Table designed to be the preferred imaging solution during interventional and vascular procedures. The aorta is the large artery that carries blood to your belly, pelvis, and legs. Pages 13-34. Editor's Choice – Fenestrated or Branched Endovascular versus Open Repair for Complex Aortic Aneurysms: Meta-Analysis of Time to Event Propensity Score Matched Data. ISR G3. Left ... Stent grafts were modified at a back table before the start of general anaesthesia, fitting a single fenestration for the LSA according to preoperative computed tomography angiography (CTA) measurements. Lost your password? General Principles of Vascular Surgery 2. Full-Text HTML; PDF Hemodynamic and Metabolic Determinants of End-Organ Perfusion and Microcirculation in an Animal Model of Thoracoabdominal Aortic Repair. Interventional Nephrologist Neghae Mawla from Dallas Nephrology Associates walks us through his experiences with endovascular AV Fistula creation, … New procedures and special features, such as key points and case reviews, help illustrate effective patient care, and new topics such as endoscopic management of aneurismal disease and traumatic injuries review with you the latest endovascular … READ MORE. Endovascular surgery – operating from inside the blood vessel – is performed through tiny holes, rather than through large external incisions. The Aspect ISR G3 is the flagship of the Aspect™ Series table line; designed to be the preferred imaging solution during interventional and vascular procedures. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. CurrenT TaSC II guIdelIneS and TreaTmenT of femoropoplITeal leSIonS Femoropopliteal Lesions Lesion Type Lesion Characteristics TASC II Guidelines Recommendation Type A Lesion Single occlusion ≤ 5 cm in length Endovascular Single stenosis ≤ 10 cm in length Type B Lesion Multiple lesions (stenosis or occlusions), each ≤ 5 cm Endovasculara 100-4T G3 Interventional / Endovascular Table, ISR G3 Interventional / Endovascular Table, Tabletop dimensions: 21″/30″ x 80″ (52/76 x 203 cm), Unobstructed imaging area: 72” (182.9 cm), Motorized Elevation 27.9” – 37.7” (71 – 95.8 cm), 4-way manual floating tabletop with panning hand control, Longitudinal tabletop travel: 40” (101.6 cm), Transverse tabletop travel: 10” (25.4 cm), Patient weight capacity: 450 lbs. • Small incisions (femoral, brachial, or carotid artery cutdown for access). Performance, endurance and safety are built into each EMERALD® Guidewire with solid tensile strength to minimize the likelihood of stretching or fracturing. Endovascular repair has been considered a valuable, less invasive treatment for thoracic aorta diseases with a low mortality of 2.1% . All In the 4th edition of Endovascular Surgery, Drs. 77 Endovascular AV Fistula Creation with Dr. Neghae Mawla by BackTable published on 2020-08-17T11:50:39Z. At the time of the procedure, an intraoperative cone beam computed tomography is performed, and the 3D model is registered to the patient's on-table anatomy. (Subiela et al., 2018), who published a case series of their own patients and from a systematic literature review on articles regarding the endovascular management of UAF between 1990 and 2017. 38. The treatment of pulmonary embolism (PE) continues to evolve. The requirement regarding the DES is in the main body, with informative guidance for the preparation of a DES table … PDF. This document introduces methodology to identify appropriate testing and analyses for specific endovascular prosthesis, designated as the device evaluation strategy (DES). In one case (patient 5; Table) there were luminal narrowings of the proximal PICA possibly due to another dissection or, alternatively, secondary to vasospasm. Rowan R. Sheldon, Matthew J. Martin. Endovascular procedures were performed on 11 patients under local anesthesia with continuous hemodynamic monitoring according to the standard hospital protocol for carotid artery stenting procedures. improves outcome for acute ischemic stroke patients with large artery anterior circulation strokes, when performed within 6 hours of stroke onset.1 Please enter your username or email address. This line, along with the best selling Max series and EconoMax series tables, makes Surgical Tables Inc. the company with the most table options to choose from in the medical table business. Tal Hörer, David T. McGreevy, Rigo Hoencamp. Favors Open Repair Favors EVAR; Younger patient: Older patient: Few medical comorbidities: Multiple medical comorbidities : Connective tissue disorder: Prior aortic surgery: Anatomy not favorable for EVAR: Prior abdominal surgery: AAA indicates abdominal aortic aneurysm; and EVAR, endovascular AAA repair. BackTable, LLC (Producer). Full-Text HTML; PDF Supplemental Materials; Collective … Endovascular Stent Grafts Market Insights 2020, Global and Chinese Scenario is a professional and in-depth study on the current state of the global Endovascular Stent Grafts industry with a focus on the Chinese market. Table 1: Demographics of females who underwent EVAR for AAA in ENGAGE (Endurant Stent Graft Natural Selection Global post-market registry), GREAT (Global Registry for Endovascular Aortic Treatment), and the Zenith U.S. multicenter pivotal study. Adjunctive Procedure codes and physician reimbursement rates are provided in table A. Endovascular treatment of ruptured, symptomatic, or enlarging IIA is an excellent treatment modality with high occlusion rates and low procedure-related complication rates. Some of the surgical results obtained are still considered controversial. 9) had the procedure performed under general … Phone: +90 (216) 455 4205 TABLE OF CONTENTS VASCULAR CARDIAC ELECTROPHYSIOLOGY HEART FAILURE NEURO STRUCTURAL HEART E ... Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within same vessel, when performed $519 $4,012 37222 Revascularization, endovascular, open or percutaneous, iliac … White arrow indicates wire in the ulnar artery. Comprehensive Vascular and Endovascular Surgery, 2nd Edition, edited by John W. Hallett, Jr., MD, FACS, Joseph L. Mills, MD, Jonothan Earnshaw, DM, FRCS, Jim A. Reekers, MD, PhD, and Thom Rooke, MD delivers in-depth, clinically focused coverage of all aspects of vascular surgery in an exceptionally well-designed single reference. 100-4 Interventional / Endovascular Table designed for C-arm imaging in endovascular or other interventional procedures where a 4-way floating tabletop is required in a non-tilting table. This study is the first report of LVIS stent-assisted coiling for acutely ruptured wide-necked ACoA aneurysms. The locking mechanism is released by turning the rotation handle. FEATURES. Archive. covery rate between surgical clipping and endovascular coiling in patients diagnosed as PcomAA combined with ONP, and explore the potential risk factors of ONP recovery. TABLE OF CONTENTS VASCULAR CARDIAC ELECTROPHYSIOLOGY HEART FAILURE NEURO STRUCTURAL HEART E ... Revascularization, endovascular, open or percutaneous, iliac artery, unilateral, initial vessel; with transluminal stent placement(s), includes angioplasty within same vessel, when performed $519 $4,012 37222 Revascularization, endovascular, open or percutaneous, iliac … Results of different methods used for the treatment of ruptured ACoA aneurysms. Introduction to the Interventional Suite and Basic Principles of Angiography; Jason Ty Turner and Virginia L. Wong. Distal IIA are more often treated with parent artery occlusion, in our hands, preferentially with Onyx, while proximal lesions may be treated with direct stent-coiling or even flow-diverting stent monotherapy. Elevate and tilt functions are fully motor driven – no hydraulics – lower cost of service and no dangerous oil leaks! The First Imaging Table Designed For Use With FD C-Arms. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. Articles in Press. Of the 56 cases who only underwent EVD placement prior to EVT, there was one case (1/56, … Table 4 compares the complication rates of patients who underwent EVD placement prior to endovascular therapy with those who did not. Archive. Data on efficacy and safety of endovascular treatment in patients on anticoagulants, especially those on direct OACs (DOACs), are hence scarce and observational (Table I in the online-only Data Supplement). The requirement regarding the DES is in the main body, with informative guidance for the preparation of a DES table … The Aspect ISR G3 is the flagship of the Aspect™️ Series table line; designed to be the preferred imaging solution during interventional and vascular procedures. Table 2. Swedish Complex Endovascular Aortic Repair Collaboration (SEAL-investigators) Published in issue: December 2019. e233-e234. Results 30 day mortality was 35.4% (112/316) in the endovascular strategy group and 37.4% (111/297) in the open repair group: odds ratio 0.92 (95% confidence interval 0.66 to 1.28; P=0.62); odds ratio after adjustment for age, sex, and Hardman index 0.94 (0.67 to 1.33). It is an emerging alternative to open operations with very promising results. The first Imaging table designed for use with FD (Flat-panel Detector) C-Arms Lost your password? General Principles of Endovascular Therapy: Access Site Management 4. General Principles of Endovascular Therapy: Guidewire, and Catheter Manipulation 5. DISCUSSION. • Decreased or no stay in intensive care unit. Phone: +90 (216) 455 4205 Furthermore, we updated the comprehensive review by Subiela et al. The ISR G3 provides longitudinal tabletop float of 32 inches (81.2 cm) in a very compact platform enabling comprehensive coverage throughout the anatomical imaging area without C-arm movement – and does so in a table with an ideal overall length of only 84 inches. Less frequently, PAUs are located in 6.5.4 Interventional therapy the aortic arch or abdominal aorta, while involvement of the ascend- In patients with PAU, no randomized studies are available that ing aorta is rare.245,251,256,257 Common features in patients affected compare open surgical- and endovascular treatment. 1). The exclusion criteria for endovascular treatment were as follows: patients with (I) proximal intimal tear of the AD involving the ascending aorta; (II) concomitant pathologies such as cardiac tamponade and severe aortic regurgitation which necessitated surgical treatment; and (III) other anatomical formations not suitable for TEVAR, such as severe tortuousness in the access route arteries, angulation or … Table 1: Advantages and Disadvantages of Current Options for Endovascular Atherectomy . Code 99201 has been deleted, and codes 99202-5 (new patient) and 99211-5 (established patient) have been modified. 3–17 Additionally, most studies did not differentiate between therapeutic and nontherapeutic activity of OAC. The report provides key statistics on the market status of the Endovascular Stent Grafts manufacturers and is a valuable source of guidance and direction for … Transapical endovascular repair with a table-tailored endograft to treat ascending aortic dissection J Card Surg. Endovascular techniques Basic principles of vascular stents used in hemodialysis arteriovenous access intervention Comparison of methods for endovenous ablation for chronic venous disease TABLE 28-3 Advantages of Endovascular Graft Exclusion of Abdominal Aortic Aneurysms • Procedure is performed from a remote site and avoids laparotomy. Even the experienced practitioner may find new tips in this book! Image: Article Link. The overall aim of the present study was to measure the added value of endovascular catheter-based approach for the endovascular creation of AVF (endoAVF) with WavelinQ system in HD patients and to compare it to the surgical approach (SAVF), through a health technology assessment, to inform decision-makers in due course on the choices offered to HD patients in the context of access … Bullets are no longer used to determine the level of service. 59 – Endovascular Treatment of DVT [Audio podcast]. The next symposium will concentrate on bleeding control, resuscitation, civilian and military aspects and new technologies for trauma and non-trauma instability. Surgery is done to repair the aneurysm in the aortic wall, the aneurysm is removed and replaced by an artificial blood vessel (a … The perforating vein has … The clinical data of 152 patients with ONP caused by PcomAA were retrospectively analyzed. Four of these 60 cases also had surgical exploration prior to endovascular therapy and none of these four had worsening hemorrhage while on intravenous heparin post-EVT. Table 1. The criteria used to determine the level of service provided are different, and the level of service is now determined by either: (1) the level of the medical decision-making (MDM) as defined for each service or (2) the total time for E/M services performed on the date of the encounter. Pages i-xxiii. Endovascular Management of Cervical Vascular Trauma. Long term clinical and angiographic outcome of completely occluded intracranial aneurysms (IAs) by the endovascular approach are presented. Among the 10 ruptured aneurysms, 3 (30%; all dissecting) reruptured early before the endovascular treatment (Table). Endovascular Aneurysm Repair Market Overview: Global Endovascular Aneurysm Repair (Evar) Market was valued at $2,327 million in 2016, and is expected to reach at $3,580 million by 2023, registering a CAGR of 6.2% from 2017 to 2023. Finally, the system is used for live guidance in which the 3D model is codisplayed with overlying fluoroscopic images. Please enter your username or email address. As shown in Table 1, ~60% of all sICH events occurred within the first day following randomization; one-third of cases within the first 12 hours; and only 7 of 41 occurred after day 8. Interventional Cardiologist Dr. Thomas Tu and Interventional Radiologist Dr. Venkat Tummala discuss risk stratification and examine the role of mechanical thrombectomy in … Table of Contents. Other adverse events are shown in Table 1. Treatment Endovascular revascularization procedures (e.g., stents, angioplasty and/or atherectomy) for treating lower extremity ischemia are proven and medically necessary in individuals who meet the following indication -specific criteria : Only 1 patient (Patient No. There are a variety of emerging new endovascular therapies that can be employed for submassive or massive PE without the need for lysis with tPA. Endovascular treatment (EVT) is currently recognized as the preferred therapeutic modality for intracranial aneurysms, and since the initial introduction of Guglielmi detachable coils over two decades ago, its position has been solidified by several notable studies.1–5 A plethora of new medical devices with varying indications have been developed for EVT.6–9 However, despite all these options, … ISR G3 Our most advanced imaging table delivers extended positioning and imaging capabilities. The present invention provides for a biodegradable membrane covered endovascular device. (A) After entering the brachial vein with a 21-gauge needle, a 0.018-inch guidewire is advanced through the needle to the ulnar vein (black arrow) under fluoroscopy, and a 7Fr sheath is inserted. Ataşehir Bulvarı Atatürk Mah. The evaluation and documentation of the elements of the … There were access-related problems, and bleeding related to antiplatelet agents in 2 patients (1 patient bled along the course of the external ventricular drain, and a second patient presented with malena and hematuria). Endovascular repair with abdominal stent-graft devices is primarily used to treat infrarenal abdominal aortic aneurysm with or without associated iliac artery aneurysm. Pre-Procedural Risk … You will receive a link to create a new password via email. The decisive factor for creation of an endovascular AV fistula (endoAVF) is the assessment of the perforator, the vein close to the cubital fossa that connects the deep system with the superficial venous system (Fig. Endovascular abdominal aortic aneurysm (AAA) repair is surgery to repair a widened area in your aorta. CAROTID and SUPRA-AORTIC ARTERIES. Search within book. This is called an aneurysm. Principles of Modern Trauma Resuscitation. Methods Over the course of 4 years, patients with IAs which were completely occluded by coiling at our institution were reviewed. Objective To assess whether a strategy of endovascular repair (if aortic morphology is suitable, open repair if not) versus open repair reduces early mortality for patients with suspected ruptured abdominal aortic aneurysm. Survival table analysis of delayed clinical outcome showed primary and primary-assisted clinical benefits at 11 months of 85% and 91%, respectively. Through nine outstanding editions, Rutherford's Vascular Surgery and Endovascular Therapy has been the gold standard text in this fast-changing, complex field.Published in association with the Society for Vascular Surgery, this state-of-the-art reference by Drs. Featuring true iso-centric lateral roll – anatomy on the iso axis remains centered in the fluoroscopic field of view. MultiPulse Tm+1470. It occurs due to weakness in the wall of the artery. Results: An average time of 52.2 months (median 46.9, IQR 0.0-92.5) elapsed between initial EVAR and conversion. Email: info@alplermedikal.com, Low Temperature Steam Formaldehyde Sterilizer, Medication and Supply Management Technologies, ISR G3 Interventional / Endovascular Table. This document provides additional guidance and examples for the Endovascular Surgical Neuroradiology Milestones. Wesley S. Moore, Samuel S. Ahn, and a host of experts guide you through the latest developments in this innovative field. Alpler Medikal İstanbul Branch Trendelenburg Tilt ( ±12°) Transverse Float 8″ (20.3cm) Motorized Elevation 12″ (30.4cm) Longitudinal Travel 32″ (81.3cm) There were no intraprocedure ruptures, but 2 patients had strokes (1 of the 2 patients recovered). Experts in Fenestrated Endovascular Repair at UCLA Aortic Center . General Principles of Sedation, Angiography, and Intravascular Ultrasound 3. Endovascular; GI Procedures; Gall Bladder; Ultrasound Procedures; X-Ray Procedures; VALUE The Streamline series is the lowest priced table in the imaging table industry. EDITORIALS. Diameter of aneurysm, different treatment methods (surgical clipping or endovascular coiling), subarachnoid hemorrhage (SAH), … When done so, procedures can often result in smaller scars, less pain, faster recovery times and lower mortality and morbidity than traditional open methods. ABDOMINAL AORTIC ANEURYSMS Abdominal Aortic Aneurysm Endovascular stent grafting • Morphology suitable for endovascular repair • Adequate vascular access • Appropriate landing zones • Tortuosity, calcification, thrombus – Precise sizing • 3mm CT scan slices – Good imaging equipment in the lab or in the operating room 27. Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. Table of contents . It will take place in Örebro, Sweden. The choice of. The next #EVTM Round Table Symposium will be on the 3-5 December 2021. There are many applications for image fusion in endovascular surgery. Ada Ata Plaza 3/3 Kat: 7 Daire: 64 Ataşehir,İstanbul The Concept of Endovascular Resuscitation and Trauma Management: Building the EVTM Team. 2)Asingle locking mechanism securesthe endovascular graft to the introduction system until it is released by the physician. The endovascular graft can comprise, e.g., a radially expanding vascular stent and/or a stent-graft. Table 1: Patients demographic, endovascular treatment, and follow-up. Endovascular Catalog Page 2 cordis.com. The carbon-fiber table top of Maquet Magnus supports interventions in endovascular and cardiovascular surgery as well as in interventional radiology, orthopedics and traumatology. 2019 Endovascular Reimbursement Coding Fact Sheet 1 of 11 The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment, or charge. Fenestrated Endovascular Aortic Repair, also known as FEVAR, is a minimally invasive procedure that allows surgeons to repair the aorta through small incisions in your groin and or arms while still preserving blood flow to the critical branch arteries to your kidneys and other organs. Complications related to endovascular treatment are shown in Table 8. Featuring true iso-centric lateral roll – anatomy on the iso axis remains centered in the fluoroscopic field of view. Retrieved from https://www.backtable.com/podcasts 77 Endovascular AV Fistula Creation with Dr. Neghae Mawla by BackTable from desktop or your mobile device. Discussion. Patient Factors Favoring Endovascular or Open AAA Repair. While open … Several researchers in the field have been making efforts to develop effective surgical procedures for endovascular surgery (Table 1). To determine the risk factors associated with the deterioration of mRS scores, we compared the procedures that led to worse mRS scores 30 days after the endovascular procedures and those in which mRS scores of patients improved or did not change (On-line Table 3). With the addition of the optional head extension, the imaging area is increased to 80″ (203cm). There were 11 early conversions (including 7 on-table), while 19 procedures were done >30 days post EVAR. • No prolonged aortic clamping. Table 2 summarizes the mechanism of action, technical details, and regulatory status of some of the commonly used devices. Endovascular repair with rupture or for other than rupture Endovascular repair in the aortic or iliac arteries for acute rupture is reported using CPT codes 34702, 34704, 34706, or 34708. Endovascular treatment (EVT) is currently recognized as the preferred therapeutic modality for intracranial aneurysms, ... Sizing is based primarily on the aneurysm neck size and maximum diameter, as shown in table 1. Before conversion, 16 (53%) patients had prior endovascular corrections to maintain aneurysm exclusion. De très nombreux exemples de phrases traduites contenant "endovascular" – Dictionnaire français-anglais et moteur de recherche de traductions françaises. TABLES. Layout table for additonal information; Responsible Party: Medtronic Endovascular: ClinicalTrials.gov Identifier: NCT00816062 Other Study ID Numbers: P070027/S002 : First Posted: December 31, 2008 Key Record Dates: Results First Posted: January 23, 2018: Last Update Posted: January 28, 2019 Last Verified: January 2019 This retrospective single-center study showed that IV-oral switch after 14 days of IV treatment was not associated with relapses in a selected group of patients with complicated SAB without signs of endovascular infection on echocardiography and 18 F-FDG-PET/CT. • For percutaneous entry and guidance of angiographic catheters • Units per package: 5. 38. SoundCloud Ep. Table of Contents page: European Journal of Vascular and Endovascular Surgery. A proximal neck at least 15 to 25 mm from the origin of the left subclavian artery: A distal neck at least 15 to 25 mm proximal to the origin of the celiac artery Design Randomised controlled trial. Fax: +90 (216) 455 0562 The results demonstrate procedure-related morbidity and mortality of 6.5% and 0, … Todd Simon, Kevin … 100-4 Interventional / Endovascular Table, 100-4T G3 Interventional / Endovascular Table. 2014 Nov;29(6):824-6. doi: 10.1111/jocs.12449. Background and purpose: The STAIR (Stroke Treatment Academic Industry Roundtable) meeting aims to advance acute stroke therapy development through collaboration between academia, industry, and regulatory institutions. In the study period, 17 endovascular UAF cases with a total of 16 patients from the author’s hospital were analyzed. Isocentric lateral roll. The past decade has seen the evolution of endovascular prostheses for the treatment of descending aortic dissection. Stroke onset is defined as the time the patient was last known to be at their neurologic baseline (wake-up strokes are eligible if they meet the above time limits). Diameter (inch) Length (cm) J-Radius (mm) Product Code. Email: info@alplermedikal.com, Low Temperature Steam Formaldehyde Sterilizer, Medication and Supply Management Technologies, 100-4 Interventional / Endovascular Table. The vascular surgeon is trained in the dia… Endovascular thrombolysis had been employed in 11 of the 16 cases with onset within the first half-day, and death resulted in 10 of these subjects. The Aspect 100-4 is part of the Aspect™ series table line designed for C-arm imaging in endovascular or other interventional procedures where a 4-way floating tabletop is required in a non-tilting table. Background: Revascularization of the supra-aortic major branches in thoracic endovascular aortic repair (TEVAR) is challenging owing to the complex anatomic configuration of aortic arch pathologies.

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