The Use of an Endovascular Stent Graft with ‘Home-made’ Fenestrations to Treat an Infected Aortic Endograft in an Emergency Setting: A Short Report L.

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The Use of an Endovascular Stent Graft with ‘Home-made’ Fenestrations to Treat an Infected Aortic Endograft in an Emergency Setting: A Short Report L. Morgan-Rowe, D. Simring, J. Raja, O. Agu, T. Richards, K. Ivancev EJVES Extra Volume 22, Issue 4, Pages e34-e36 (October 2011) DOI: 10.1016/j.ejvsextra.2011.06.007 Copyright © 2011 European Society for Vascular Surgery Terms and Conditions

Figure 1 (a) Reformatted CT angiogram showing a type 1a endoleak (thick arrow) arising from the SMA scallop and a type 3 endoleak (thin arrow) arising from the right renal artery fenestration. (b) Reformatted CT angiogram. Note the destruction of the posterior wall of the aorta (dotted arrows). (c) PET CT image showing an area of avid FDG uptake centered around the aneurysm sac and endograft (thick arrow). EJVES Extra 2011 22, e34-e36DOI: (10.1016/j.ejvsextra.2011.06.007) Copyright © 2011 European Society for Vascular Surgery Terms and Conditions

Figure 2 (a) Intra-operative picture showing the creation of a fenestration into the graft (thick arrow) using cautery (thin arrow). (b) Intra-operative picture showing the fenestrations re-enforced with nitinol rings (thick arrow) and sutured radio-opaque markers (thin arrow). (c) Reformatted CT angiogram 2 weeks post-procedure, showing good graft position, patent target vessels and no endoleak. EJVES Extra 2011 22, e34-e36DOI: (10.1016/j.ejvsextra.2011.06.007) Copyright © 2011 European Society for Vascular Surgery Terms and Conditions