1. Back-table fenestrated endograft limb inversion for type Ia endoleak repair
- Author
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Fletcher N. Pierce, BA, Ahmed Raza, MD, Hilary McKinley, DO, and Animesh Rathore, MBBS
- Subjects
Abdominal aortic aneurysm ,Endovascular aortic repair ,Physician modified endograft ,Surgery ,RD1-811 ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
We present a case of a type Ia endoleak from an aortic endograft in close proximity to the renal arteries that was successfully treated with a back-table physician-modified endograft with inversion of the contralateral limb. This modification allowed for deployment of a fenestrated cuff and bifurcated distal main body over the flow divider of the previous endograft, thus avoiding the need for either an open aneurysm repair, physician-made fenestrations, or aorto-uni-iliac repair with femoral–femoral bypass. This case demonstrates that back-table physician-modified endograft contralateral limb inversion is an easy, reproducible, and effective technique.
- Published
- 2023
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