Endografts / Cardiac Patho test 2/2

Question 1

Introduction of __ ___ ___ to assure the proper placement of the endovascular graft in the aortic arch covering the origin of the left subclavian artery.

Answer 1

right brachiofemoral wire

Question 2

Insertion of the system over the ___ ___ ____ . The system is advanced to the target landing zone and it is deployed several millimeters proximally. Stamp position is verified by angiography.

Answer 2

stiff guide wire

Question 3

The endograft is delivered by _______________________
until the graft cover separates from the tip and the first stents are deployed. At this point angiography is performed to verify the position of the graft.

Answer 3

turning the delivery system several times

Question 4

The delivery system is removed by depressing the ______ and the handle is pulled back to retract the tip into the graft cover. After establishing a smooth transition between the tip and graft cover the entire delivery system is removed.

Answer 4

Quick Disconnect button

Question 5

What device has the great advantage of flexibility and tapering. This is particularly useful in dissecting aneurysms where the same lumen throughout the system might result in folding of the dissection, and where the proximal part of the aneurysm, distal to the subclavian artery, usually has the largest diameter.

Answer 5

The Endofit device

Question 6

Aortic neck diameters range from ?

In order to qualify for the Gore Tag implantation the proximal neck should be at least

Answer 6

23mm - 37mm

20mm

Question 7

Pathologies where the endografting can be used in the thoracic aorta.

Answer 7

• atherosclerotic aneurysms
• chronic dissection with expansion
• acute traumatic transection of the aorta
• coarctation repair with development of a pseudoaneurysm