Feasibility and Twelve-month Patency of a Six-fold Fenestrated Stent Graft for Type IV Thoracoabdominal Aneurysm Repair.
Ann Vasc Surg
; 60: 478.e1-478.e5, 2019 Oct.
Article
de En
| MEDLINE
| ID: mdl-31195107
ABSTRACT
BACKGROUND:
Fenestrated endovascular aortic aneurysm repair (FEVAR) is a standard procedure for the treatment of complex aortic aneurysm. More than 4 fenestrations are still randomly used, even in case of complex aneurysm anatomy involving accessory renal arteries.METHODS:
We are presenting the case of a 62-year-old male patient suffering from 63-mm juxtarenal aortic aneurysm. Because of his medical history and an ongoing immunosuppressive medication an endovascular approach was conducted. Using a 6-fold fenestrated endograft, 4 renal arteries as well as the superior mesenteric artery and the celiac trunk have been cannulated and stented successfully.RESULTS:
No perioperative complications such as impairment of renal function could be observed. After 12 months, still a nonhampered renal function could be assessed. Furthermore, the endoprosthesis showed a good fit without detection of endoleaks, patent fenestrations, and a decreasing aneurysm diameter after 12 months of follow-up. Coverage of accessory renal arteries has been described as an established and necessary technique during endovascular repair of juxtarenal aortic aneurysm; yet coverage of these vessels may be related to renal infarction and an impaired renal function during follow-up. Based on current technical developments the implantation of a 6-fold FEVAR may be conducted with promising results.CONCLUSIONS:
Six-fold fenestrated stent-graft prosthesis for the treatment of juxtarenal aortic aneurysm involving accessory renal arteries may be a feasible treatment option related to an appropriate 12-month patency.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Degré de perméabilité vasculaire
/
Prothèse vasculaire
/
Endoprothèses
/
Anévrysme de l'aorte thoracique
/
Implantation de prothèses vasculaires
/
Procédures endovasculaires
Limites:
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Ann Vasc Surg
Sujet du journal:
ANGIOLOGIA
Année:
2019
Type de document:
Article
Pays d'affiliation:
Allemagne