Endovascular Repair of a Thoracoabdominal Aortic Aneurysm with a Patient-Specific Fenestrated-Branched Stent-Graft

Bernardo C. Mendes, Lawrence E. Greiten, Gustavo Oderich

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Purpose: To describe the technical aspects of a thoracoabdominal aortic aneurysm (TAAA) repair using a patient-specific fenestrated-branched stent-graft. Technique: The technique is demonstrated in a 69-year-old man with a 6.2-cm asymptomatic type III TAAA. A patient-specific fenestrated-branched stent-graft was designed with 2 down-going directional branches for the celiac and superior mesenteric arteries and 2 reinforced fenestrations for the renal arteries. The procedure was performed under general anesthesia and included sequential stenting of the celiac, superior mesenteric, and bilateral renal arteries. The patient was discharged from the hospital on postoperative day 5 with no complications. Follow-up computed tomography angiography demonstrated exclusion of the aneurysm and patent target vessels at 12-month follow-up. Conclusion: This article and illustrated video highlight the steps for procedure planning and implantation of fenestrated and branched endografts. As these techniques continue to evolve, outcomes are expected to be equivalent or improved as compared to those of long-established open repair.

Original languageEnglish (US)
Pages (from-to)665-669
Number of pages5
JournalJournal of Endovascular Therapy
Volume24
Issue number5
DOIs
StatePublished - Oct 1 2017

Keywords

  • endograft
  • fenestrated-branched stent-graft
  • stent-graft
  • thoracoabdominal aortic aneurysm

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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