Externalized Guidewires to Facilitate Fenestrated Endograft Deployment in the Aortic Arch

Externalized Guidewires to Facilitate Fenestrated Endograft Deployment in the Aortic Arch

PURPOSE To describe a precannulated fenestrated endograft system utilizing externalized guidewires to facilitate aortic arch endovascular repair and to report its use in 2 patients with challenging anatomy. TECHNIQUE For distal arch repair, a fenestration for the left subclavian artery (LSA) is made onsite in a standard thoracic endograft tailored to the patient anatomy; it is precannulated w...

Total endograft replacement of aortic arch.

Total endovascular replacement of the aortic arch is a complex procedure that is often favoured when the pathology anatomy precludes a standard median sternotomy. Here we present the case of endograft repair in a 79 year old male with 6.5 cm arch aneurysm and 5.4 cm descending thoracoabdominal aneurysm. Following bilateral carotid-subclavian bypasses, a long 7 Fr sheath was advanced into the de...

Surgeon-modified fenestrated endograft to treat ruptured juxtarenal aneurysm.

IMPORTANCE No endovascular devices are commercially available in the United States to treat high-surgical risk patients with aneurysms extending to visceral arteries. Treatment options are even further limited for symptomatic patients in need of urgent treatment. OBJECTIVE To describe a successful urgent endovascular repair of a juxtarenal abdominal aortic aneurysm with contained rupture. D...

Fenestrated Anacondatm Endograft for Juxta- and Pararenal Aortic Aneurysms: Preliminary Experience

Straight aortic endograft in abdominal aortic disease

BACKGROUND We describe our 8-year experience with the use of endovascular techniques (ET) for the treatment of abdominal aortic aneurysms (AAA) through a straight endograft. METHODS We retrospectively reviewed data of all patients who were treated for AAA using ET in two centres from 1998 to 2012 and who received a single straight endograft (group A) or a double straight tube (group B). Outco...