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

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Journal of Vascular Surgery

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Presentation transcript:

Repair of thoracoabdominal aortic aneurysms with fenestrated and branched endovascular stent grafts John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley Journal of Vascular Surgery Volume 42, Issue 4, Pages 600-607 (October 2005) DOI: 10.1016/j.jvs.2005.05.063 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 Optimal alignment of the graft fenestrations and branch vessels is achieved by inflating angioplasty balloons in the celiac axis, superior mesenteric artery, and both renal arteries from within the endograft lumen. Journal of Vascular Surgery 2005 42, 600-607DOI: (10.1016/j.jvs.2005.05.063) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Diagramatic representation of aneurysm morphology in patients 1 to 4. Journal of Vascular Surgery 2005 42, 600-607DOI: (10.1016/j.jvs.2005.05.063) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 Custom-designed Zenith fenestrated and branched stent grafts inserted in patients 1 to 4. Journal of Vascular Surgery 2005 42, 600-607DOI: (10.1016/j.jvs.2005.05.063) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 Follow-up computed tomographic angiography in patient 2 demonstrating aneurysm exclusion and patent celiac axis, superior mesenteric artery, and both renal arteries. Journal of Vascular Surgery 2005 42, 600-607DOI: (10.1016/j.jvs.2005.05.063) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 5 Follow-up computed tomographic angiography in patient 2 demonstrating patent celiac axis, superior mesenteric artery, and both renal arteries. Journal of Vascular Surgery 2005 42, 600-607DOI: (10.1016/j.jvs.2005.05.063) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 6 Percutaneous approach to endovascular thoracoabdominal aortic aneurysm repair in patient 4. Journal of Vascular Surgery 2005 42, 600-607DOI: (10.1016/j.jvs.2005.05.063) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 7 Follow-up computed tomographic angiography in patient 4 demonstrating aneurysm exclusion and patent celiac axis, superior mesenteric artery, and both renal arteries. Journal of Vascular Surgery 2005 42, 600-607DOI: (10.1016/j.jvs.2005.05.063) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions