Incorporation of Celiomesenteric Trunk With Double Kissing Directional Branches During Fenestrated-Branched Endovascular Aortic Repair. (August 2021)

• Record Type: Journal Article
• Authors: Marcondes, Giulianna B.; Tenorio, Emanuel R.; Lima, Guilherme B.; Mendes, Bernardo; Saqib, Naveed; Khan, Sophia; Macedo, Thanila A.; Lee, Hansoo; Oderich, Gustavo S.
• Is Part Of: Journal of endovascular therapy. Volume 28:Number 4(2021)
• Page Start: 636
• Page End: 641
• Publication Date: 2021-08
• Subjects: celiomesenteric trunk -- anatomical variation -- visceral anatomic variation -- thoracoabdominal aortic aneurysm -- endovascular repair -- fenestrated-branched repair -- fenestrated-branched endovascular aneurysm repair; Blood-vessels -- Endoscopic surgery -- Periodicals; Angioscopy -- Periodicals; Intravenous catheterization -- Periodicals; Peripheral vascular diseases -- Treatment -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioscopy -- Periodicals; Catheterization, Peripheral -- Periodicals; Peripheral Vascular Diseases -- therapy -- Periodicals; Angioscopie; Maladies vasculaires périphériques; 617.413
• DOI: 10.1177/15266028211016430
• Languages: English
• ISSNs: 1526-6028

Abstract

Purpose: Common celiomesenteric trunk (CMT) is a rare anatomical variation that occurs in 0.5% to 3.4% of the general population. Its presence may complicate planning and implantation of fenestrated and branched stent-grafts because the wide diameter and short length of the CMT to its bifurcation does not allow sufficient sealing for placement of bridging stents. Case Report: We report a patient with thoracoabdominal aortic aneurysm (TAAA) and CMT treated by fenestrated-branched endovascular aortic repair (FB-EVAR) using double kissing directional branches to incorporate the celiac axis and superior mesenteric artery. Pitfalls of stent design and implantation are outlined. Conclusion: Double kissing directional branches should be considered as an alternative to incorporate vessels with early bifurcation such as a CMT.