Utility of a preloaded fenestrated graft in thoracoabdominal aneurysm repair. (September 2016)

• Record Type: Journal Article
• Authors: Unno, Naoki; Yamamoto, Naoto; Higashiura, Wataru; Inuzuka, Kazunori; Sano, Masaki; Konno, Hiroyuki
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 24:Number 7(2016)
• Page Start: 699
• Page End: 702
• Publication Date: 2016-09
• Subjects: Anesthesia -- local -- Aortic aneurysm -- abdominal -- Aortic aneurysm -- thoracic -- Blood vessel prosthesis implantation -- Prosthesis design; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492315592997
• Languages: English
• ISSNs: 0218-4923

Abstract

An 84-year-old man with a thoracoabdominal aortic aneurysm was treated using a fenestrated stent graft with a preloaded guidewire system under local anesthesia. He suffered from severe chronic obstructive pulmonary disease. We successfully placed 4 bridging stent grafts for perfusion of the celiac artery, superior mesenteric artery, and bilateral renal arteries via the 4 fenestrations. A preloaded wire system was used to insert a catheter into the celiac artery from the left brachial artery. Our findings indicate that a fenestrated stent graft with a preloaded wire system may expand the indication for treating thoracoabdominal aortic aneurysms in high-risk patients.