Technique for planning and implantation of a branched endograft as a proximal extension of a previous fenestrated endovascular aneurysm repair

Our patient had undergone a previous three-fenestration Anaconda (Terumo Medical Corp, Tokyo, Japan) fenestrated endovascular aneurysm repair (EVAR) to treat a juxtarenal aortic aneurysm. At 10 years postoperatively, distal migration of the prosthesis, a proximal type I endoleak, and aortic sac enla...

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Detalles Bibliográficos
Autores principales: Fernandez-Alonso, Sebastian, Lopez-San Martin, Marina, Fernandez-Alonso, Leopoldo, Martinez-Aguilar, Esther, Santamarta-Fariña, Estefana, Centeno-Vallepuga, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Innovative technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921177/
https://www.ncbi.nlm.nih.gov/pubmed/33718676
http://dx.doi.org/10.1016/j.jvscit.2020.12.017
Descripción
Sumario:Our patient had undergone a previous three-fenestration Anaconda (Terumo Medical Corp, Tokyo, Japan) fenestrated endovascular aneurysm repair (EVAR) to treat a juxtarenal aortic aneurysm. At 10 years postoperatively, distal migration of the prosthesis, a proximal type I endoleak, and aortic sac enlargement of 10 mm in 6 months was observed. Because of the short length of the Anaconda's bifurcated body, we chose to use a Zenith custom-made endograft with four branches and a bifurcated body with an inverted contralateral limb. We have also described the issues that can arise during branched EVAR after fenestrated EVAR and some of the bailout techniques we performed to successfully perform the treatment.

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