Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft Gustavo S. Oderich, MD, Mateus.

Slides:

Advertisements

Similar presentations

Catheter-less angiography for endovascular aortic aneurysm repair: A new application of carbon dioxide as a contrast agent Enrique Criado, MD, Loay Kabbani,

Advertisements

In situ laser fenestration during emergent thoracic endovascular aortic repair is an effective method for left subclavian artery revascularization Richard.

Endovascular management of juxtarenal aneurysms with fenestrated endovascular grafting Roy K Greenberg, MD, Stephan Haulon, MD, Sean P Lyden, MD, Sunita.

Fenestrated and branched devices in the pipeline

Preloaded guidewires to facilitate endovascular repair of thoracoabdominal aortic aneurysm using a physician-modified branched stent graft Gustavo S.

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients Joseph.

Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm Salvatore T. Scali, MD, Robert.

Endovascular techniques for arch vessel reconstruction

Outcomes of a novel technique of endovascular repair of aneurysmal internal iliac arteries using iliac branch devices Martin Austermann, MD, Theodosios.

Technical aspects, current indications, and results of chimney grafts for juxtarenal aortic aneurysms Raphael Coscas, MD, Hicham Kobeiter, MD, Pascal.

Daniel F. Leotta, PhD, Benjamin W. Starnes, MD

Intraoperative contrast-enhanced cone beam computed tomography to assess technical success during endovascular aneurysm repair Christof Johannes Schulz,

Impact of transrenal aortic endograft placement on endovascular graft repair of abdominal aortic aneurysms Michael L. Marin, MD, Richard E. Parsons,

The BeGraft Balloon Expandable Covered Stent as a Proximal Extension to an Iliac Branch Device for Endovascular Repair of Isolated Common Iliac Artery.

Stent graft modification with mini-cuff reinforced fenestrations for urgent repair of thoracoabdominal aortic aneurysms Gustavo S. Oderich, MD, Javairiah.

Endovascular repair of thoracoabdominal aortic aneurysm using the off-the-shelf multibranched t-Branch stent graft Bernardo C. Mendes, MD, Gustavo S.

Clinical significance of embolic events in patients undergoing endovascular femoropopliteal interventions with or without embolic protection devices

Endovascular treatment of TransAtlantic Inter-Society Consensus D aortoiliac occlusive disease using unibody bifurcated endografts Robert M. Van Haren,

Safety and effectiveness of the INCRAFT AAA Stent Graft for endovascular repair of abdominal aortic aneurysms Giovanni Torsello, MD, Dierk Scheinert,

Results of the United States multicenter prospective study evaluating the Zenith fenestrated endovascular graft for treatment of juxtarenal abdominal.

Initial experience with the Ventana fenestrated system for endovascular repair of juxtarenal and pararenal aortic aneurysms Andrew Holden, MD, Renato.

Endovascular aortic aneurysm repair in patients with narrow aortas using bifurcated stent grafts is safe and effective Veljko Strajina, MD, Gustavo S.

Posterior reversible encephalopathy syndrome from induced hypertension during endovascular thoracoabdominal aortic aneurysm repair Gustavo S. Oderich,

Anatomic feasibility of off-the-shelf fenestrated stent grafts to treat juxtarenal and pararenal abdominal aortic aneurysms Bernardo C. Mendes, MD, Gustavo.

Endovascular treatment of aneurysms using fenestrated-branched endografts with distal inverted iliac limbs Vikalp Jain, MD, Peter Banga, MD, Raghuveer.

Bitubular graft as an adjunct for laparoscopic hybrid repair of an abdominal aortic aneurysm Raphaël Coscas, MD, Clément Capdevila, MD, Olivier Goeau-Brissonniere,

Preservation of internal iliac arteries during endovascular aneurysm repair using “eye of the tiger” technique Tariq Almerey, MD, W. Andrew Oldenburg,

Physician modification of Gore C3 excluder endograft for treatment of abdominal aortic aneurysms anatomically unsuitable for conventional endovascular.

George Matalanis, BSc, MB, MS, FRACS, Shoane Ip, MBBS, BMedSc, FRACS

Techniques in occluding the aorta during endovascular repair of ruptured abdominal aortic aneurysms Mark Edward O’Donnell, DSEM, MRCS, Stephen A. Badger,

Distal internal iliac artery embolization: A procedure to avoid

Three-vessel fenestrated and bilateral iliac branched graft repair of a juxtarenal aortic aneurysm with bilateral common iliac aneurysms Emily B. Worrall,

Results of a double-barrel technique with commercially available devices for hypogastric preservation during aortoilac endovascular abdominal aortic aneurysm.

Nanette R. Reed, MD, Gustavo S

Endovascular abdominal aortic aneurysm repair in patients with common iliac artery aneurysms – Initial experience with the Zenith bifurcated iliac side.

Outcomes of open and endovascular repair for ruptured and nonruptured internal iliac artery aneurysms Muhammad A. Rana, MBBS, Manju Kalra, MBBS, Gustavo.

Technical video of endovascular repair of chronic postdissection thoracoabdominal aortic aneurysm using a five-vessel preloaded fenestrated-branched stent.

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

A novel hybrid approach to the treatment of common iliac aneurysms: Antegrade endovascular hypogastric stent grafting and femorofemoral bypass grafting

Customized endovascular repair of common iliac artery aneurysms

Early endovascular grafts at Montefiore Hospital and their effect on vascular surgery Frank J. Veith, MD, Jacob Cynamon, MD, Claudio J. Schonholz, MD,

Juan Carlos Parodi, MD Journal of Vascular Surgery

Fenestrated and branched endograft repair of juxtarenal aneurysms after previous open aortic reconstruction Adam W. Beck, MD, Wendy T.G.J. Bos, MD, Georgios.

Intra-operative DynaCT improves technical success of endovascular repair of abdominal aortic aneurysms Lukla Biasi, MD, Tahir Ali, MBChB, MRCS, Lakshmi.

Initial experience with a new fenestrated stent graft

The effect of endograft relining on sac expansion after endovascular aneurysm repair with the original-permeability Gore Excluder abdominal aortic aneurysm.

The sandwich technique to treat complex aortoiliac or isolated iliac aneurysms: Results of midterm follow-up Armando C. Lobato, MD, PhD, Luciana Camacho-Lobato,

Repair of recurrent visceral aortic patch aneurysm after thoracoabdominal aortic aneurysm repair with a branched endovascular stent graft Donald J. Adam,

Alternative access techniques with thoracic endovascular aortic repair, open iliac conduit versus endoconduit technique Guido H.W. van Bogerijen, MD,

Endovascular repair of thoracoabdominal aortic aneurysms using fenestrated and branched endografts Gustavo S. Oderich, MD, Mauricio Ribeiro, MD, PhD,

Raphael Coscas, MD, Roy K. Greenberg, MD, Kathryn Pfaff, BS

First experience using intraoperative contrast-enhanced ultrasound during endovascular aneurysm repair for infrarenal aortic aneurysms Reinhard Kopp,

Endovascular aneurysm repair for ruptured abdominal aortic aneurysm: The Albany Vascular Group approach Manish Mehta, MD, MPH Journal of Vascular Surgery

Transbrachial branch cannulation during Zenith fenestrated endovascular aortic aneurysm repair using a robotically guided body-floss technique Sukgu.

Endovascular abdominal aortic aneurysm repair in patients with common iliac artery aneurysms – Initial experience with the Zenith bifurcated iliac side.

Endovascular repair of bilateral common iliac artery aneurysms following open abdominal aortic aneurysm repair with preservation of both hypogastric arteries.

Severe infolding of fenestrated-branched endovascular stent graft

Eight-year follow-up of endovascular repair of a brachiocephalic trunk aneurysm due to Takayasu's arteritis Domenico Angiletta, MD, Davide Marinazzo,

C. Y. Maximilian Png, BA, James W. Cornwall, MD, Peter L

Transbrachial branch cannulation during Zenith fenestrated endovascular aortic aneurysm repair using a robotically guided body-floss technique Sukgu.

Jade S. Hiramoto, MD, Catherine K. Chang, MD, Linda M

Nanette R. Reed, MD, Gustavo S

Implications of renal artery anatomy for endovascular repair using fenestrated, branched, or parallel stent graft techniques Bernardo C. Mendes, MD,

The double two-chimney technique for complete renovisceral revascularization in a suprarenal aneurysm Jip L. Tolenaar, MD, Herman J.A. Zandvoort, MD,

Endovascular repair of stent graft collapse by stent-protected angioplasty using a femoral-brachial guidewire Drosos Kotelis, MD, Ruben Lopez-Benitez,

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

Repair of juxtarenal para-anastomotic aortic aneurysms after previous open repair with fenestrated and branched endovascular stent grafts Donald J. Adam,

Fenestrated endograft for recurrent paravisceral aortic pseudoaneurysm after thoracoabdominal aortic aneurysm open repair Mauro Gargiulo, MD, PhD, Enrico.

Complete regression of a symptomatic, mycotic juxtarenal abdominal aortic aneurysm after treatment with fenestrated endovascular aneurysm repair Jonathan.

A staged replacement of the entire aorta from the ascending arch to the hypogastric arteries using a hybrid approach Juan Carlos Jimenez, MD, Wesley.

Presentation transcript:

Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft Gustavo S. Oderich, MD, Mateus P. Correa, MD, Bernardo C. Mendes, MD Journal of Vascular Surgery Volume 59, Issue 5, Pages 1456-1461 (May 2014) DOI: 10.1016/j.jvs.2013.10.060 Copyright © 2014 Terms and Conditions

Fig 1 A, Three-dimensional reconstruction of computed tomography angiography (CTA) demonstrates a juxtarenal abdominal aortic aneurysm (AAA). B, The patient was treated using a Zenith fenestrated stent graft (Cook Medical Inc), consisting of a fenestrated proximal component, a bifurcated distal component, and a contralateral iliac limb extension. The fenestrated component is designed with one to three fenestrations, including scallop, small, and large fenestrations. C, A follow-up CTA at 24 months shows a widely patent fenestrated stent graft with no endoleak. Reproduced with permission of the Mayo Foundation for Medical Education and Research All rights reserved. Journal of Vascular Surgery 2014 59, 1456-1461DOI: (10.1016/j.jvs.2013.10.060) Copyright © 2014 Terms and Conditions

Fig 2 Right femoral access is obtained using a 20F Check-Flo sheath (Cook Medical Inc). A, The sheath valve is punctured with two 7F sheaths for introduction of guide catheters and catheters, (B) which are used for selective catheterization of the renal arteries. C, After the target vessels are located, the device is oriented extracorporeally using the anterior and posterior radiopaque markers for orientation. Reproduced with permission of the Mayo Foundation for Medical Education and Research All rights reserved. Journal of Vascular Surgery 2014 59, 1456-1461DOI: (10.1016/j.jvs.2013.10.060) Copyright © 2014 Terms and Conditions

Fig 3 A, The fenestrated component is introduced via the left femoral approach and deployed with the fenestrations matching the target catheters. B, Each catheter and guide catheter is sequentially removed from the renal artery and used to regain access into the fenestrated stent graft, fenestration, and renal artery. C, Seven French sheaths are advanced to the renal arteries over 0.035-inch Rosen guidewires (Cook Medical Inc). Reproduced with permission of the Mayo Foundation for Medical Education and Research All rights reserved. Journal of Vascular Surgery 2014 59, 1456-1461DOI: (10.1016/j.jvs.2013.10.060) Copyright © 2014 Terms and Conditions

Fig 4 A, After both renal sheaths are positioned, the diameter-reducing tie is removed, allowing deployment of the top cap and device. B, The top cap is retrieved, and the proximal sealing stents are balloon dilated using a Coda balloon (Cook Medical Inc). C, Sequential stenting is performed by deployment of the alignment iCast balloon-expandable covered stents (Atrium Medical Corp, Hudson, NH) with 3-mm to 5-mm into the aortic lumen, (D) followed by flaring of the proximal portion of each stent using a 10-mm angioplasty balloon. Reproduced with permission of the Mayo Foundation for Medical Education and Research All rights reserved. Journal of Vascular Surgery 2014 59, 1456-1461DOI: (10.1016/j.jvs.2013.10.060) Copyright © 2014 Terms and Conditions

Fig 5 The universal bifurcated component is deployed after placement of the alignment stents. A, Note that the dilator of the bifurcated component often encroaches the contralateral renal stent, which can be protected by the balloon (inset). B, The bifurcated component is deployed with at least a two-stent overlap to minimize risk of component separation. C, Access to the contralateral gate is established, followed by placement of the iliac limb extension. D, Completion angiography demonstrates widely patent fenestrated stent graft with no endoleak. Reproduced with permission of the Mayo Foundation for Medical Education and Research All rights reserved. Journal of Vascular Surgery 2014 59, 1456-1461DOI: (10.1016/j.jvs.2013.10.060) Copyright © 2014 Terms and Conditions