Complicated Fenestrated Endovascular Repair of a Pararenal Aortic Aneurysm

Annals of Vascular Surgery
Holta KasemiGian Franco Fadda

Abstract

We report the case of a 77-year-old man treated with a custom-made fenestrated endograft for pararenal aortic aneurysm repair. Fenestrations for the superior mesenteric and both the renal arteries and augmented anterior valley and/or scallop for the celiac trunk were performed. The procedure was complicated by the superior mesenteric artery stent-graft entrapment from the endograft delivery system release wires and total dislodgement into the endograft main body. Superior mesenteric artery restenting and displaced stent-graft removal completed the intervention. Fenestrated-endograft deployment should be performed by a team familiar with the device, deployment system, and bail out solutions.

References

Oct 1, 2011·Journal of Vascular Surgery·Peter Mark BungayAlun Huw Davies
Apr 16, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ramon L Varcoe, Andrew F Lennox

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Citations

May 27, 2017·The Journal of Cardiovascular Surgery·Gian F FaddaCarlo Setacci

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