Stent graft modification with mini-cuff reinforced fenestrations for urgent repair of thoracoabdominal aortic aneurysms

Gustavo Oderich, Javairiah Fatima, Peter Gloviczki

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Fenestrated endografts require 6 to 8 weeks for device customization, and off-the-shelf devices are not yet available and may not be of easy access for urgent repair of complex aneurysms. We describe a technique of stent graft modification in a high-risk male patient with two prior open aortic repairs, end ileostomy, and a rapidly enlarging 10-cm supra-graft type IV thoracoabdominal aortic aneurysm. A Z-stent thoracic stent graft was modified on-site using mini-cuff reinforced fenestrations to incorporate the visceral arteries and improve overlap at the side branch attachment sites. After successful repair, the patient was discharged at 4 days without complications and with patent branched stent grafts without endoleak. On-site modifications of endografts may allow urgent endovascular treatment of complex aortic aneurysms in high-risk patients who are not good candidates for open repair or who do not have access to manufactured fenestrated devices.

Original languageEnglish (US)
Pages (from-to)1522-1526
Number of pages5
JournalJournal of Vascular Surgery
Volume54
Issue number5
DOIs
StatePublished - Nov 1 2011

Fingerprint

Thoracic Aortic Aneurysm
Stents
Transplants
Equipment and Supplies
Endoleak
Ileostomy
Aortic Aneurysm
Aneurysm
Thorax
Arteries
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Stent graft modification with mini-cuff reinforced fenestrations for urgent repair of thoracoabdominal aortic aneurysms. / Oderich, Gustavo; Fatima, Javairiah; Gloviczki, Peter.

In: Journal of Vascular Surgery, Vol. 54, No. 5, 01.11.2011, p. 1522-1526.

Research output: Contribution to journalArticle

@article{26a825411c2846c7b151ac05125a83e3,
title = "Stent graft modification with mini-cuff reinforced fenestrations for urgent repair of thoracoabdominal aortic aneurysms",
abstract = "Fenestrated endografts require 6 to 8 weeks for device customization, and off-the-shelf devices are not yet available and may not be of easy access for urgent repair of complex aneurysms. We describe a technique of stent graft modification in a high-risk male patient with two prior open aortic repairs, end ileostomy, and a rapidly enlarging 10-cm supra-graft type IV thoracoabdominal aortic aneurysm. A Z-stent thoracic stent graft was modified on-site using mini-cuff reinforced fenestrations to incorporate the visceral arteries and improve overlap at the side branch attachment sites. After successful repair, the patient was discharged at 4 days without complications and with patent branched stent grafts without endoleak. On-site modifications of endografts may allow urgent endovascular treatment of complex aortic aneurysms in high-risk patients who are not good candidates for open repair or who do not have access to manufactured fenestrated devices.",
author = "Gustavo Oderich and Javairiah Fatima and Peter Gloviczki",
year = "2011",
month = "11",
day = "1",
doi = "10.1016/j.jvs.2011.06.023",
language = "English (US)",
volume = "54",
pages = "1522--1526",
journal = "Journal of Vascular Surgery",
issn = "0741-5214",
publisher = "Mosby Inc.",
number = "5",

}

TY - JOUR

T1 - Stent graft modification with mini-cuff reinforced fenestrations for urgent repair of thoracoabdominal aortic aneurysms

AU - Oderich, Gustavo

AU - Fatima, Javairiah

AU - Gloviczki, Peter

PY - 2011/11/1

Y1 - 2011/11/1

N2 - Fenestrated endografts require 6 to 8 weeks for device customization, and off-the-shelf devices are not yet available and may not be of easy access for urgent repair of complex aneurysms. We describe a technique of stent graft modification in a high-risk male patient with two prior open aortic repairs, end ileostomy, and a rapidly enlarging 10-cm supra-graft type IV thoracoabdominal aortic aneurysm. A Z-stent thoracic stent graft was modified on-site using mini-cuff reinforced fenestrations to incorporate the visceral arteries and improve overlap at the side branch attachment sites. After successful repair, the patient was discharged at 4 days without complications and with patent branched stent grafts without endoleak. On-site modifications of endografts may allow urgent endovascular treatment of complex aortic aneurysms in high-risk patients who are not good candidates for open repair or who do not have access to manufactured fenestrated devices.

AB - Fenestrated endografts require 6 to 8 weeks for device customization, and off-the-shelf devices are not yet available and may not be of easy access for urgent repair of complex aneurysms. We describe a technique of stent graft modification in a high-risk male patient with two prior open aortic repairs, end ileostomy, and a rapidly enlarging 10-cm supra-graft type IV thoracoabdominal aortic aneurysm. A Z-stent thoracic stent graft was modified on-site using mini-cuff reinforced fenestrations to incorporate the visceral arteries and improve overlap at the side branch attachment sites. After successful repair, the patient was discharged at 4 days without complications and with patent branched stent grafts without endoleak. On-site modifications of endografts may allow urgent endovascular treatment of complex aortic aneurysms in high-risk patients who are not good candidates for open repair or who do not have access to manufactured fenestrated devices.

UR - http://www.scopus.com/inward/record.url?scp=80054864706&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80054864706&partnerID=8YFLogxK

U2 - 10.1016/j.jvs.2011.06.023

DO - 10.1016/j.jvs.2011.06.023

M3 - Article

VL - 54

SP - 1522

EP - 1526

JO - Journal of Vascular Surgery

JF - Journal of Vascular Surgery

SN - 0741-5214

IS - 5

ER -