Physician-modified “fenestrated” Gore thoracic branch endoprosthesis (TBE) for zone 0 hybrid arch repair
Abstract
Despite advances in endovascular repair of aortic arch pathologies, the gold standard remains open surgical repair. Two single-branched options for zone 0 exist in the United States for high-risk patients. Both systems require adjunctive multiple cervical debranching, which carries significant morbidity. We describe a practical endovascular solution that simplifies modification, implantation, and adjunctive cervical debranching, by performing a single left carotid transposition and creating an additional fenestration within the existing Gore thoracic branch endoprosthesis platform. We present our initial series of six patients.
Fields of Study & Subjects
Aortic Disease and Treatment Approaches
Aortic aneurysm repair treatments
Infectious Aortic and Vascular Conditions
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 3
- Pages
- 102130–102130
- Publication date
- 13 January 2026
- Language
- EN