1. ‘In-stock’ fenestrated stent graft for the urgent repair of an abdominal aortic aneurysm
- Author
-
Leonard W. Tse, Sean A. Crawford, Graham Roche-Nagle, and Matthew G. Doyle
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Endovascular aneurysm repair ,Article ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Humans ,cardiovascular diseases ,Aged, 80 and over ,business.industry ,Endovascular Procedures ,Stent ,General Medicine ,Juxtarenal aneurysm ,medicine.disease ,Abdominal aortic aneurysm ,Surgery ,Treatment Outcome ,cardiovascular system ,Open repair ,Stents ,Radiology ,business ,030217 neurology & neurosurgery ,Aortic Aneurysm, Abdominal - Abstract
Endovascular aneurysm repair (EVAR) is a minimally invasive method for the treatment of abdominal aortic aneurysms; however, the implementation of this technique is often limited by the aortic pathology, especially in the urgent or emergent setting. An 82-year-old male with a 7.3 cm symptomatic juxtarenal aneurysm presented at our centre for assessment. He was diagnosed as a high-risk candidate for open repair and therefore, not suitable for a conventional EVAR. Fortunately, a custom two-vessel fenestrated stent graft, which was originally constructed for another patient, was available. This device was implanted with no complications and all branches remain unobstructed; clear of aneurysms at 1 year. We present the use of ‘in-stock’ fenestrated grafts as a potential option to be considered in the urgent or emergent repair of abdominal aortic aneurysms.
- Published
- 2016