aortic arch reconstruction with a new branched stentgraft ...€¦ · xin jia wei guo vascular and...

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Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction with a new branched stentgraft——a First in Man Study

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Page 1: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

Xin Jia Wei Guo

Vascular and endovascular surgery center

Chinese PLA General Hospital, Beijing

Aortic arch reconstruction with a new branched stentgraft——a First in Man Study

Page 2: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

Disclosure

Speaker name: Xin Jia

.................................................................................

I have the following potential conflicts of interest to report:

Consulting

Employment in industry

Stockholder of a healthcare company

Owner of a healthcare company

Other(s)

I do not have any potential conflict of interest✔

Page 3: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

WeFlow-ArchTM

The First Part

Page 4: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

Pro. Dis.Mid.The Second Part

Pro. Part: Excellent radio forceMid. Part: Flexible covered stentDis. Part: Good adherence

performance

WeFlow-ArchTM

Page 5: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

The proximal end of the stent graft can be bent into shape, with small resilience and good bending flexibility

The Third Part

The distal end of the covered stent adopts a smaller wire diameter, which has a smaller radial force

WeFlow-ArchTM

Page 6: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

6 month FU,CTA: stent graft and branch patent

Animal number:P-4098

Distal end of stent graft

Proximal end of mainbody

Distal end of branch

CTA F/U

Animal Experiment

Final agio.

Page 7: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

CASE 1:M,74y,Aortic arch aneurysm Risk factor: MI, hypertension, current smoker

Page 8: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

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3D printed model and in vitro simulation

Page 9: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

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The first piece implantation and bilateral carotid access

Page 10: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

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Innominate a. / left carotid reconstruction and the third piece implantation after LCCA-LSA bypass

Page 11: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

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One month CTA FU

Page 12: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

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Short Summary

Advantages-For lesions involving arch and ascending aorta-Cerebral blood flow unaffected in each step-Adjustable deliver system, good stability

Limitation-Unsuitable for lesions insufficient ascending landing zone-LSA might need a surgical bypass

Page 13: Aortic arch reconstruction with a new branched stentgraft ...€¦ · Xin Jia Wei Guo Vascular and endovascular surgery center Chinese PLA General Hospital, Beijing Aortic arch reconstruction

Xin Jia Wei Guo

Vascular and endovascular surgery center

Chinese PLA General Hospital, Beijing

Aortic arch reconstruction with a new branched stentgraft——a First in Man Study