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Application of physician-modified fenestrated stent graft in urgent endovascular repair of abdominal aortic aneurysm with hostile neck anatomy
| Content Provider | Semantic Scholar |
|---|---|
| Author | Zeng, Rong Ye, Wei Biao Liu, Changwei Wang, Xuan Song, Xiaojun Ni, Leng Liu, Bao Li, Yongjun Zheng, Yuehong |
| Copyright Year | 2016 |
| Abstract | BACKGROUND This study aimed to evaluate the feasibility and effectiveness of the Gore Excluder aortic stent graft (WL Gore & Associates, Inc., Flagstaff, AZ) using the C3 Delivery System after physician modification of fenestration for the urgent treatment of patients with abdominal aortic aneurysm showing hostile neck anatomy. CASE SUMMARY Three urgent cases of abdominal aortic aneurysm with hostile neck anatomy symptom with abdominal pain were reported. The same fenestration method was applied to align the target superior mesenteric artery and bilateral renal arteries with 1 scallop and 2 fenestrations, followed by the reconstruction of the target artery using a bare-metal stent or stent graft. Balloon-assisted positioning and image fusion technology were intraoperatively applied to assist the accurate release of the stent graft body. The follow-up periods for all cases exceeded 6 months, showing smooth circulation in the target arteries with no endoleaks. CONCLUSION In the absence of other available treatment methods, it is feasible to use a stent graft with physician-modified fenestration for the urgent endovascular repair of abdominal aortic aneurysm with hostile neck anatomy. However, this procedure's long-term efficacy needs to be further investigated. |
| Starting Page | 491 |
| Ending Page | 499 |
| Page Count | 9 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 27861397 |
| Volume Number | 95 |
| Journal | Medicine |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Abdominal Pain Anatomic structures Aortic Aneurysm Aortic Aneurysm, Abdominal Doctor of Law Endoleak Head and Neck Neoplasms Mesenteric Arteries Mesentery Patients Stent Device Component Stent, device Structure of renal artery Superior mesenteric artery structure Transplanted tissue azimexon |
| Content Type | Text |
| Resource Type | Article |
