Fenestrated Endovascular Aortic Repair With Chimney Graft for Thoracoabdominal Aneurysm. (May 2022)

• Record Type: Journal Article
• Authors: Gaines, Sara; Williamson, Ashley J.; Park, Julie; Babrowski, Trissa A.; Milner, Ross
• Is Part Of: Vascular & endovascular surgery. Volume 56:Number 4(2022)
• Page Start: 444
• Page End: 447
• Publication Date: 2022-05
• Subjects: thoracoabdominal -- aneurysm -- fenestrated graft -- chimney graft -- endovascular repair; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/15385744211068650
• Languages: English
• ISSNs: 1538-5744

Abstract

Thoracoabdominal aneurysms pose technical challenges for endovascular repair due to involvement of visceral and renal vessels. We report a case series of four patients diagnosed with thoracoabdominal aneurysm who underwent complex endovascular repair with Fenestrated Device and chimney grafts (FEVARCh). FEVARCh is a technically feasible approach for repair of thoracoabdominal aneurysms that involve renal, superior mesenteric, and celiac arteries for patients not appropriate for open surgical repair. Further studies are needed to understand the implications of resultant Type 1a endoleaks and strategies to minimize the displacement of the main body graft with adjunct chimneys.