Invited Speakers
Jer-Shen Chen
Current Position
Director, Department of Cardiovascular Surgery
Far Eastern Memorial Hospital
Thoracic Aorta SessionSaturday, Oct. 22, 2022 13:30-16:30 @Ballroom I

Topic: Physician-modified stent graft (PMSG): Implantation and open removal


Our team began to perform physician-modified stent graft (PMSG) for the aortic arch since 2015. Till Aug 2022, 190 patients underwent PMSG implantation in our hospital, including 17 double fenestrations and 15 triple fenestrations. The technical success rate is 98% and branch graft patency rate is 98.7%. However, despite of high success rate and branch patency rate, we encountered several situations that we have to remove the fenestrated devices. Stent graft infection is the most common reason. We will share our experience of removal of single, double, and triple fenestrated aortic stent grafts and their corresponding peripheral stent grafts inserted into the branches. So far, all the explanted fenestrations remained intact.





Doctor of Medicine, School of Medicine, National Taiwan University

Research Experience

・Clinical Investigator
2014 Einstein CHOICE study
2010 Einstein study
2009 Hokusai study



Selected Publications
  • Hsu HL, Huang CM, Chen YY, Hsieh FC, Chen JS*. The sandwich technique with body flossing wire to revascularize left subclavian artery in thoracic endovascular aortic repair. Ann Vasc Surg 2017; 39: 152-9 (SCI)
  • Hsu HL, Chen JS, Chiu KM. Modification of Thoracic Endografts to Treat Iatrogenic Type A Aortic Dissection: A Case Report. J Vasc Interv Radiol 2018; 29(5): 740-2 (SCI)
  • Kuo HS, Huang JH, Chen JS*. Handmade stent graft fenestration to preserve left subclavian artery in thoracic endovascular aortic repair. Eur J Cardiothorac Surg 2019; 56:587-94 (SCI)
  • Kuo HS, Tsai KC, Chen JS*. Endovascular Aortic Arch Reconstruction with Parallel Grafts: A Dilemma of Excessive Endograft Oversizing. Acta Cardiol Sin 2020; 36:351-9 (SCI)
  • Kuo HS, Huang JH, Chen JS*. Handmade fenestrated stent grafts to preserve all supra-aortic branches in thoracic endovascular aortic repair. J Thorac Cardiovasc Surg (2020; 160: 629-39)(SCI)

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