A Systematic Review on Methods and Tools for the In Situ Fenestration of Aortic Stent-Graft

IF 17.2 1区工程技术 Q1 ENGINEERING, BIOMEDICAL

IEEE Reviews in Biomedical Engineering Pub Date : 2021-06-01 DOI:10.1109/RBME.2021.3085484

Roberta Piazza;M. Carbone;R. N. Berchiolli;V. Ferrari;M. Ferrari;S. Condino

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引用次数: 1

Abstract

In situ fenestration of stent-graft represents a potential option for the treatment of aortic diseases in patients unsuitable for standard endovascular repair. The best fenestration strategy to restore perfusion of collateral vessels after their coverage by an endograft depends mainly on the anatomical area. Several tools are employed as fenestration devices, including needles, radiofrequency probes, and laser systems, used in conjunction with other instrumentation to provide enough support and stability during the procedure. In this systematic review, the approaches to reach the correct fenestration site both in human, animal, and in in vitro environments are described and discussed, highlighting advantages and limitations. Both commercial and dedicated solutions for the intraoperative modification of the fabric material are reported as well. The clinical interest in this procedure has so far encouraged researchers to develop and refine both methods and tools to solve the current limitations of this technique, intending to extend the indications for endovascular treatment to a broader range of patients.

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主动脉支架移植物原位开窗方法和工具的系统评价

原位开窗支架移植物是治疗不适合标准血管内修复的主动脉疾病的一种潜在选择。内移植物覆盖侧支血管后，恢复侧支血管灌注的最佳开窗策略主要取决于解剖区域。有几种工具被用作开窗装置，包括针头、射频探头和激光系统，与其他仪器一起使用，以在手术过程中提供足够的支撑和稳定性。在这篇系统综述中，描述和讨论了在人类、动物和体外环境中达到正确开窗位置的方法，强调了优势和局限性。也报道了用于织物材料术中改性的商业和专用解决方案。到目前为止，对该手术的临床兴趣鼓励研究人员开发和完善方法和工具，以解决该技术目前的局限性，旨在将血管内治疗的适应症扩展到更广泛的患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

IEEE Reviews in Biomedical Engineering Engineering-Biomedical Engineering

CiteScore

31.70

自引率

0.60%

发文量

期刊介绍： IEEE Reviews in Biomedical Engineering (RBME) serves as a platform to review the state-of-the-art and trends in the interdisciplinary field of biomedical engineering, which encompasses engineering, life sciences, and medicine. The journal aims to consolidate research and reviews for members of all IEEE societies interested in biomedical engineering. Recognizing the demand for comprehensive reviews among authors of various IEEE journals, RBME addresses this need by receiving, reviewing, and publishing scholarly works under one umbrella. It covers a broad spectrum, from historical to modern developments in biomedical engineering and the integration of technologies from various IEEE societies into the life sciences and medicine.