Clinical experience with a customized fenestrated endograft for juxtarenal abdominal aortic aneurysm repair
(2006) In Journal of Vascular and Interventional Radiology 17(12). p.1935-1942- Abstract
- Despite the numerous stent-graft devices available, unsuitable anatomy is still the greatest exclusion criterion for endovascular abdominal aortic aneurysm (AAA) repair (EVAR). The present report describes an on-site preprocedural customization of a conventional Zenith stent-graft device just before the endovascular procedure that includes the creation of fenestrations and scallops as necessary for the patient's anatomy. Three patients with difficult anatomy in whom conventional AAA repair posed a high degree of risk were treated with customization of the stent-graft device to fit disparate renal arteries. A single fenestration for the left renal artery was made in two cases, and a single scallop was made in the other case to accommodate... (More)
- Despite the numerous stent-graft devices available, unsuitable anatomy is still the greatest exclusion criterion for endovascular abdominal aortic aneurysm (AAA) repair (EVAR). The present report describes an on-site preprocedural customization of a conventional Zenith stent-graft device just before the endovascular procedure that includes the creation of fenestrations and scallops as necessary for the patient's anatomy. Three patients with difficult anatomy in whom conventional AAA repair posed a high degree of risk were treated with customization of the stent-graft device to fit disparate renal arteries. A single fenestration for the left renal artery was made in two cases, and a single scallop was made in the other case to accommodate the superior mesenteric artery. Gold beads were used to mark the location of the fenestration and scallop. The three cases were successfully performed without perceptible endoleaks in the follow-up period, which ranged from 4 to 14 months. No procedure-related complications were detected; however, pneumonia developed in one patient 3 weeks after EVAR. The initial results with this technique are encouraging, and the role of EVAR can be significantly increased with the use of this customization technique when the interventionalist does not have access to the commercially available devices or when the waiting time is too prolonged to accommodate the patient's clinical situation. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/679287
- author
- Uflacker, Renan ; Robison, Jacob D. ; Schonholz, Claudio and Ivancev, Krassi LU
- organization
- publishing date
- 2006
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Journal of Vascular and Interventional Radiology
- volume
- 17
- issue
- 12
- pages
- 1935 - 1942
- publisher
- Society of Interventional Radiology
- external identifiers
-
- wos:000243281500009
- scopus:33847652894
- ISSN
- 1051-0443
- DOI
- 10.1097/01.RVI.0000248828.92093.1A
- language
- English
- LU publication?
- yes
- id
- 7795cec8-6634-4055-9908-e5be0ef8742a (old id 679287)
- date added to LUP
- 2016-04-01 17:06:37
- date last changed
- 2022-01-29 00:23:04
@article{7795cec8-6634-4055-9908-e5be0ef8742a,
abstract = {{Despite the numerous stent-graft devices available, unsuitable anatomy is still the greatest exclusion criterion for endovascular abdominal aortic aneurysm (AAA) repair (EVAR). The present report describes an on-site preprocedural customization of a conventional Zenith stent-graft device just before the endovascular procedure that includes the creation of fenestrations and scallops as necessary for the patient's anatomy. Three patients with difficult anatomy in whom conventional AAA repair posed a high degree of risk were treated with customization of the stent-graft device to fit disparate renal arteries. A single fenestration for the left renal artery was made in two cases, and a single scallop was made in the other case to accommodate the superior mesenteric artery. Gold beads were used to mark the location of the fenestration and scallop. The three cases were successfully performed without perceptible endoleaks in the follow-up period, which ranged from 4 to 14 months. No procedure-related complications were detected; however, pneumonia developed in one patient 3 weeks after EVAR. The initial results with this technique are encouraging, and the role of EVAR can be significantly increased with the use of this customization technique when the interventionalist does not have access to the commercially available devices or when the waiting time is too prolonged to accommodate the patient's clinical situation.}},
author = {{Uflacker, Renan and Robison, Jacob D. and Schonholz, Claudio and Ivancev, Krassi}},
issn = {{1051-0443}},
language = {{eng}},
number = {{12}},
pages = {{1935--1942}},
publisher = {{Society of Interventional Radiology}},
series = {{Journal of Vascular and Interventional Radiology}},
title = {{Clinical experience with a customized fenestrated endograft for juxtarenal abdominal aortic aneurysm repair}},
url = {{http://dx.doi.org/10.1097/01.RVI.0000248828.92093.1A}},
doi = {{10.1097/01.RVI.0000248828.92093.1A}},
volume = {{17}},
year = {{2006}},
}