Intermediate results of a United States multicenter trial of fenestrated endograft repair for juxtarenal abdominal aortic aneurysms

Greenberg, Roy K.; Sternbergh, W. Charles; Makaroun, Michael S.; Ohki, Takao; Chuter, Timothy A.M.; Bharadwaj, Priya; Saunders, Alan T.

doi:10.1016/j.jvs.2009.05.051

Cited by 310 publications

(222 citation statements)

References 25 publications

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“…Extended basic anatomic criteria and technical issues for application of FEVAR with custom-made endografts are summarized in Table 2. 39,44,[54][55][56][57][58] Despite the use of fenestrations which are necessary to incorporate visceral vessels bearing the desired sealing zone, a segment of relatively normal suprarenal aorta that constitutes the proximal neck is still required in fenestrated grafts. Most authors have developed a practice of establishing proximal landing zones in a region of > 2 cm parallel-walled and thrombus-free aorta and of minimal tortuosity.…”

Section: Anatomical Criteriamentioning

confidence: 99%

Fenestrated stent grafts for the treatment of complex aortic aneurysm disease: A mature treatment paradigm

et al. 2016

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The introduction of fenestrated stent grafts (SGs) to treat abdominal aortic aneurysms (AAAs) with short proximal necks began in 1999. Nowadays, the whole visceral aorta can be treated totally by endovascular means. The established use of fenestrated devices to treat complex AAAs as a first-line management option has been previously reported. An up-to-date evaluation of the literature was performed including all types of publications regarding the use of fenestrated technology to repair complex AAAs. Fenestrated repair is now an established alternative to hybrid/chimney/snorkel repairs. However, specific criteria and prerequisites are required for the use and improvement of this method. Multiple device morphologies have been used incorporating the visceral arteries in various combinations. This modular strategy connects different devices (bridging covered stents and bifurcated SGs) with the aortic main body, thus excluding the aneurysm from the circulation. Precise deployment of the fenestrated SG is mandatory for successful visceral vessel revascularization. Accurate SG sizing and customization, a high level of technical skill, and facilities with modern imaging techniques including 3D road mapping and dedicated hybrid rooms are required. Most experience has been with the custom-made Zenith Cook platform, although off-the-shelf devices have been recently implanted. More complex repairs have been performed over the last few years, but device complexity has also increased. Perioperative, mid-term, and a few recently reported long-term results are encouraging. Secondary interventions remain the main problem, similar to that observed after traditional endovascular abdominal aortic aneurysm repair (EVAR).

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Section: Anatomical Criteriamentioning

confidence: 99%

Fenestrated stent grafts for the treatment of complex aortic aneurysm disease: A mature treatment paradigm

et al. 2016

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“…The early and mid-term outcomes of this device have been favorable in these western countries. [5][6][7] Among Asian countries, the Cook fenestrated device is approved by the government in Taiwan, Hong Kong, China, Thailand, Malaysia, Singapore, and India at this time point. However, in Japan, it is uncertain when the device will be approved by the government because of the so-called "device lag" in the Japanese system, and the introduction of the device may be delayed significantly.…”

Section: Stent Graft Placementmentioning

confidence: 99%

Early Experience with Fenestrated Stent Grafts for Treatment of Juxtarenal Aortic Aneurysm

Unno

Yamamoto

Higashiura

et al. 2013

Annals of Vascular Diseases

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“…A prospective non-randomized study evaluating the results of custom-made fenestrated Zenith stent graft in 30 patients treated at five centers was reported in 2009 [48]. There were no aneurysm-related deaths, ruptures or conversions to open repair.…”

Section: Several Reports Frommentioning

confidence: 99%

Endovascular Repair of Complex Aortic Pathology

et al. 2013

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Aortic aneurysms are classified as complex based on their extent and involvement of side branches. Complex aortic aneurysms include arch, thoracoabdominal, juxtarenal and suprarenal aortic aneurysms. Open surgical repair carries high morbidity and mortality beyond large tertiary care centers. During the last decade, numerous technological advances have allowed incorporation of side branches using hybrid and total endovascular techniques. Fenestrated and branched endografts have been widely applied to treat patients with complex aneurysm anatomy. Newer stent graft designs are currently under clinical investigation offering an off-the-shelf alternative to custom-made stent grafts for patients with complex aortic aneurysms. Alternatively, a number of endovascular techniques have been described including chimney, snorkel, periscope and sandwich stent grafts. This article summarizes the current status of hybrid and total endovascular techniques to repair of thoracoabdominal, juxtarenal and suprarenal aortic aneurysms.

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Intermediate results of a United States multicenter trial of fenestrated endograft repair for juxtarenal abdominal aortic aneurysms

Cited by 310 publications

References 25 publications

Fenestrated stent grafts for the treatment of complex aortic aneurysm disease: A mature treatment paradigm

Fenestrated stent grafts for the treatment of complex aortic aneurysm disease: A mature treatment paradigm

Early Experience with Fenestrated Stent Grafts for Treatment of Juxtarenal Aortic Aneurysm

Endovascular Repair of Complex Aortic Pathology

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