Repair of juxtarenal para-anastomotic aortic aneurysms after previous open repair with fenestrated and branched endovascular stent grafts
| Autor: | John Lennon Anderson, Michael Berce, David Ernest Hartley, Donald J. Adam |
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| Rok vydání: | 2005 |
| Předmět: |
Male
Reoperation medicine.medical_specialty medicine.medical_treatment Anastomosis Prosthesis Design Aortic aneurysm Blood Vessel Prosthesis Implantation Aneurysm medicine Humans cardiovascular diseases Device Removal Aged medicine.diagnostic_test business.industry Angiography Stent medicine.disease Abdominal aortic aneurysm Surgery Prosthesis Failure Ostium surgical procedures operative cardiovascular system Stents Radiology business Tomography X-Ray Computed Cardiology and Cardiovascular Medicine Perfusion Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | Journal of Vascular Surgery. 42(5):997-1001 |
| ISSN: | 0741-5214 |
| DOI: | 10.1016/j.jvs.2005.05.062 |
| Popis: | Three patients with juxtarenal para-anastomotic aortic aneurysms after previous open abdominal aortic aneurysm repair were treated with custom-designed fenestrated and branched Zenith endovascular stent grafts. Six renal arteries and two superior mesenteric arteries were targeted for incorporation by graft fenestrations and branches. The fenestration/renal ostium interface was secured with balloon-expandable Genesis stents (n = 5) or Jostent stent grafts (n = 1). Completion angiography demonstrated no endoleaks and antegrade perfusion in all target vessels. During follow-up, one patient developed asymptomatic renal artery occlusion and underwent further endovascular intervention for type I distal endoleak. Computed tomography at 12 months demonstrated complete aneurysm exclusion in all patients with antegrade perfusion in the remaining target vessels. Fenestrated and branched endovascular stent grafts may be an acceptable alternative to conventional open repair in this group of patients. |
| Databáze: | OpenAIRE |
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