Kevin J. Bruen, MD, Robert J. Feezor, MD, Michael J

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Presentation transcript:

Endovascular chimney technique versus open repair of juxtarenal and suprarenal aneurysms Kevin J. Bruen, MD, Robert J. Feezor, MD, Michael J. Daniels, PhD, Adam W. Beck, MD, W. Anthony Lee, MD Journal of Vascular Surgery Volume 53, Issue 4, Pages 895-905 (April 2011) DOI: 10.1016/j.jvs.2010.10.068 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Clinical decision algorithm for juxtarenal and suprarenal aneurysms. Ch-EVAR, Endovascular chimney repair; SMA, superior mesenteric artery. Journal of Vascular Surgery 2011 53, 895-905DOI: (10.1016/j.jvs.2010.10.068) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Volume-rendered 3D reconstruction of the endograft at the base of the celiac artery with chimney stenting of the superior mesenteric artery (SMA) and right renal artery. The left renal artery was intentionally covered. Journal of Vascular Surgery 2011 53, 895-905DOI: (10.1016/j.jvs.2010.10.068) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Triple “kissing-balloon” molding of the endograft and two renal chimney stents. Journal of Vascular Surgery 2011 53, 895-905DOI: (10.1016/j.jvs.2010.10.068) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Patient selection process of endovascular chimney repair (Ch-EVAR) and open repair (OR) patients. CTAs, Computed tomographic angiograms; HD, hemodialysis; SMA, superior mesenteric artery. Journal of Vascular Surgery 2011 53, 895-905DOI: (10.1016/j.jvs.2010.10.068) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 5 Kaplan-Meier estimate of survival. Journal of Vascular Surgery 2011 53, 895-905DOI: (10.1016/j.jvs.2010.10.068) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 6 Kaplan-Meier estimate of primary patency of chimney stents. Journal of Vascular Surgery 2011 53, 895-905DOI: (10.1016/j.jvs.2010.10.068) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 7 Localized deformation of the aortic wall and close conformation around the chimney stents. Journal of Vascular Surgery 2011 53, 895-905DOI: (10.1016/j.jvs.2010.10.068) Copyright © 2011 Society for Vascular Surgery Terms and Conditions