Experimental evaluation of homemade distal stent graft fenestration for thoracic endovascular aortic repair of type A dissection by a transapical approach

So far, the endovascular revolution has not included the routine management of type A dissection. We confirm with this experimental study the feasibility of physician-customized proximal scalloped stent grafts by a transapical approach. This methodology enhances accurate positioning of the scallop, provides a rapid and suitable strategy using an “on-the-shelf” endograft, and allows coverage of a greater proportion of dissected aorta and intimal tear from the sinotubular junction to the descending aorta.