Thoracic stent-graft.

Abstract

The stent-graft is a device constructed from a stent and vascular graft and is inserted by means of an interventional procedure under imaging guidance. In 1986, Balko et al. reported the first stent-graft experiment, in which a Z stent covered with polyurethane was inserted into an animal aorta. In the early 1990s, Parodi et al. reported clinical introduction of the stent-graft for abdominal aortic aneurysm. In comparison to the abdominal aortic stent-graft, the thoracic stent-graft has several disadvantages, including difficulties associated with the aortic arch curvature and the relatively large caliber of the stent-graft, and the risk of central nervous system or spinal complication. However, the thoracic stent-graft is advantageous because of minimal procedural invasiveness in comparison to surgical graft replacement. In 1994, Dake et al. reported transluminal placement of an endovascular stent-graft for thoracic aortic aneurysm, and Kato et al. reported use of a stent-graft for aortic dissection and suggested that the stent-graft could be considered an alternative to surgical treatment.