Preliminary results of Zenith Fenestrated abdominal aortic aneurysm endovascular grafts - 01/03/14
, Robert F. Cuff, M.D., Shonda L. Banegas, D.O., Christopher M. Chambers, M.D., Ph.D., Jason D. Slaikeu, M.D., Peter Y. Wong, M.D.Abstract |
Background |
Patients with juxtarenal aortic aneurysms who are unfit for open repair may be considered for fenestrated endovascular repair (fenEVAR). We report our initial experience with fenEVAR.
Methods |
We reviewed the data on all our patients receiving fenEVAR for juxtarenal aortic aneurysms.
Results |
Eight patients, average age 75 years, underwent fenEVAR. Endografts were designed from details obtained from preoperative computed tomography angiography. There were 6 grafts with superior mesenteric scallops and bilateral renal fenestrations, 1 with bilateral renal scallops, and 1 with a single renal fenestration. All patients survived 30 days. There was no renal failure requiring dialysis. At 10 weeks, 1 patient died from acute intestinal ischemia and multisystem organ failure, and another died from respiratory failure.
Conclusions |
It is feasible to offer fenEVAR to patients who are poor candidates for open repair. However, these procedures are technically challenging. Early outcomes are less favorable than other aortic endovascular procedures.
Le texte complet de cet article est disponible en PDF.Keywords : Juxtarenal aortic aneurysm, Fenestrated, Endovascular repair, Scallop
Plan
| The authors declare no conflicts of interest. |
Vol 207 - N° 3
P. 417-421 - mars 2014 Retour au numéro
Article précédent
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