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  3. In vitro fenestrated endovascular aortic repair deployment and cannulation using an electromagnetically steerable guide wire.

In vitro fenestrated endovascular aortic repair deployment and cannulation using an electromagnetically steerable guide wire.

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DOI
10.48620/98688
Publisher DOI
10.1016/j.jvscit.2026.102301
PubMed ID
42291705
Abstract
Precise guidewire navigation is critical in branched and fenestrated endovascular aortic repair, where target vessel cannulation often requires multiple devices. This study assessed the feasibility of electromagnetic guidewire navigation in a four-fenestration fenestrated endovascular aortic repair model. A custom-made endograft was deployed in a three-dimensional silicone thoracoabdominal aneurysm model. Renal and visceral arteries were cannulated using a magnetically steerable guidewire and electromagnetic navigation via femoral access. All four target vessels were successfully cannulated using the magnetic guidewire alone; three were stented without adjunctive devices. Magnetically guided navigation enabled accurate cannulation without steerable sheaths or support catheters, potentially reducing procedural complexity.
Date Issued
2026-08
Publication Type
Article
Subject(s)
600 Technology > 610 Medicine & health
Subjects
Aortic aneurysm
•
Aortic surgery
•
Basic surgical research
•
Endovascular surgery
•
Endovascular therapy
•
Fenestrated endovascular aortic repair
•
Magnetic steering
•
Radiation protection
•
Robotic endovascular surgery
•
Robotics
Language(s)
en
Author(s)
Zielasek, Christian  
Clinic of Vascular Surgery  
Stark, Sebastian
Makaloski, Vladimir  
Clinic of Vascular Surgery  
Bosiers, Michel  
Clinic of Vascular Surgery  
Kotelis, Drosos  
Clinic of Vascular Surgery  
Jungi, Silvan  
Clinic of Vascular Surgery  
Additional Credits
Clinic of Vascular Surgery  
Journal
Journal of Vascular Surgery Cases, Innovations and Technique
Publisher
Elsevier
ISSN
2468-4287
Access(Rights)
open.access
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