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

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Presentation transcript:

Fenestrated endograft for recurrent paravisceral aortic pseudoaneurysm after thoracoabdominal aortic aneurysm open repair Mauro Gargiulo, MD, PhD, Enrico Gallitto, MD, Antonio Freyrie, MD, PhD, Andrea Stella, MD, PhD Journal of Vascular Surgery Volume 58, Issue 3, Pages 790-793 (September 2013) DOI: 10.1016/j.jvs.2012.11.082 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomography angiography (CTA) shows the paravisceral aorta with volume rendering and multiplanar reconstruction. The (A) anteroposterior and (B) lateral views show a paravisceral aortic pseudoaneurysm involving descending thoracic aorta. The (C) center lumen line reconstruction and (D-F) axial views allow to define the (C) length of the lesion and the diameter of the aorta (D) above and (F) below the (E) paravisceral aortic pseudoaneurysm. Journal of Vascular Surgery 2013 58, 790-793DOI: (10.1016/j.jvs.2012.11.082) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 A, An anterior view of the endograft shows the proximal reinforced scallops with the two preloaded catheters for the celiac trunk and superior mesenteric artery fenestrations. B, A posterior view of the endograft shows the double reducing tie system. C, Anterior view shows the endograft is completely opened. D, An intraoperative angiographic image shows the left renal artery cannulation using a C2 Cook Catheter and a 0.035-inch floppy guidewire. E, Cannulation of the superior mesenteric artery is shown with the top cap still in place: a 10F Cook-Flexor introducer was inserted from the axillary artery through the dedicated scallop, and a 7F Cook-Flexor introducer was advanced in the right renal artery from the left femoral access. Journal of Vascular Surgery 2013 58, 790-793DOI: (10.1016/j.jvs.2012.11.082) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Computed tomography angiography (CTA) shows the result at 18 months of follow-up. B, The volume-rendered reconstructions show the patency of target visceral vessels without endoleaks, migration, and stent fractures. C, An axial image shows shrinkage of the paravisceral aortic pseudoaneurysm. Journal of Vascular Surgery 2013 58, 790-793DOI: (10.1016/j.jvs.2012.11.082) Copyright © 2013 Society for Vascular Surgery Terms and Conditions