Fenestrated and Branched Endografts for the Treatment of Thoracoabdominal Aortic Aneurysms: A Systematic Review

Bakoyiannis, Christos; Economopoulos, Konstantinos P.; Georgopoulos, Sotirios; Klonaris, Chris; Shialarou, Maria; Kafeza, Marina; Papalambros, Efstathios

doi:10.1583/09-2964.1

Cited by 81 publications

(82 citation statements)

References 46 publications

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“…of endoleaks occurred in the fenestrated or branched endograft during thoracoabdominal aortic aneurysm repair. 6) Likewise, our patient demonstrated a type IB endoleak. We deployed the extension stent graft just proximal to the SMA to reinforce the radial force and performed coil embolization of the aneurysmal cavity.…”

Section: Discussionsupporting

confidence: 55%

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Thoracic Stent Graft with Distal Fenestration for the Superior Mesenteric Artery for Treatment of Thoracic Aortic Aneurysm

Fukunaga

Matsumoto

Aoyagi

et al. 2014

Annals of Vascular Diseases

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An 86-year-old man with a 75-mm TAA that terminated just above the celiac artery was treated with a customized Zenith stent graft that had a distal fenestration for the superior mesenteric artery (SMA). Because angiography demonstrated a type IB endoleak, an additional extension stent graft was deployed, and coil embolization of the aneurysmal sac was performed. Three months later, there was no endoleak and good visceral blood fl ow. Placement of a fenestrated thoracic stent graft with a scallop-like fenestration for the SMA is a promising procedure for the treatment of TAAs with a short distal neck.

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Section: Discussionsupporting

confidence: 55%

“…3) The use of a branched or fenestrated endograft is a potential endovascular repair option, and the published literature shows encouraging results. [4][5][6] We herein, report our experience with a thoracic stent graft with distal fenestration for the superior mesenteric artery (SMA) in the treatment of a TAA.…”

Section: Introductionmentioning

confidence: 99%

Thoracic Stent Graft with Distal Fenestration for the Superior Mesenteric Artery for Treatment of Thoracic Aortic Aneurysm

Fukunaga

Matsumoto

Aoyagi

et al. 2014

Annals of Vascular Diseases

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“…After fenestrated and branched aortic endograft procedures vessel patency has been reported with 90% after 12 months [3]. Kidney dysfunction secondary to renal artery occlusion has been reported in some cases [3,4].…”

Section: Discussionmentioning

confidence: 99%

Endovascular Revascularization of a Renal Branch Occlusion in a Monorenal Patient after a 3-Branched Stent Graft Procedure of the Abdominal Aorta

Zander¹,

Gonzalez²,

Valdéz³

et al. 2015

J Vasc Med Surg

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“…In a metaanalysis of 155 patients, Bakoyiannis et al [53] reported a technical success rate of 94.2 % for the implantation of fenestrated and branched endografts. The 30-day mortality rate was 7.1 % and the 1-year survival rate was 82.6 %.…”

Section: Fenestrated and Branched Prosthesesmentioning

confidence: 99%

“…The periprocedural mortality rate could be significantly lowered by performing endovascular repair in these highrisk patients. The perioperative mortality rate after open surgical repair in a comparable patient collective is 5 -34 % [53]. In a retrospective study including 107 patients, Troisi et al [50] reported the necessity for reinterventions after implantation of fenestrated and branched grafts.…”

Section: Fenestrated and Branched Prosthesesmentioning

confidence: 99%

Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications

Ketelsen

Thomas

Schmehl

et al. 2014

Fortschr Röntgenstr

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Since the introduction of endovascular aneurysm repair (EVAR) in 1991, the endovascular therapy with newest stent grafts has assumed a prominent role in the clinical management of abdominal aortic aneurysms (AAA) with a superior perioperative mortality of EVAR and an equivalent mid-term outcome, compared to open surgery. Newest techniques using chimney or periscope grafts and customized fenestrated and branched stent grafts allow the endovascular treatment of complex pararenal AAA. This article reviews EVAR in the treatment of AAA, evidence based results and advanced indication by newest interventional techniques and technical developments. Key Points: ??EVAR has become standard treatment of abdominal aortic aneurysm with equivalent results to open surgery. ??Technical advancements and the introduction of newest stent grafts continually expand the indication of EVAR. ??Chimney- and periscope grafts as well as custom-made prothesis systems allow endovascular treatment of complex para- and suprarenal aneurysms. Citation Format: ??Ketelsen D, Thomas C, Schmehl J et?al. Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications. Fortschr R?ntgenstr 2014; 186: 337???347

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Fenestrated and Branched Endografts for the Treatment of Thoracoabdominal Aortic Aneurysms: A Systematic Review

Abstract: Endovascular treatment with fenestrated or/and branched stent-grafts is a new therapeutic option with encouraging results for patients considered unfit for conventional open repair. However, prolonged follow-up studies are needed in order to draw robust conclusions.

Cited by 81 publications

References 46 publications

Thoracic Stent Graft with Distal Fenestration for the Superior Mesenteric Artery for Treatment of Thoracic Aortic Aneurysm

Thoracic Stent Graft with Distal Fenestration for the Superior Mesenteric Artery for Treatment of Thoracic Aortic Aneurysm

Endovascular Revascularization of a Renal Branch Occlusion in a Monorenal Patient after a 3-Branched Stent Graft Procedure of the Abdominal Aorta

Endovascular Aneurysm Repair of Abdominal Aortic Aneurysms: Standards, Technical Options and Advanced Indications

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