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Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm

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Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm. / Spanos, Konstantinos; Tsilimparis, Nikolaos; Heidemann, Franziska; Rohlffs, Fiona; Behrendt, Christian-Alexander; Debus, Eike Sebastian; Kölbel, Tilo.

In: J ENDOVASC THER, Vol. 25, No. 1, 02.2018, p. 16-20.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Spanos, K, Tsilimparis, N, Heidemann, F, Rohlffs, F, Behrendt, C-A, Debus, ES & Kölbel, T 2018, 'Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm', J ENDOVASC THER, vol. 25, no. 1, pp. 16-20. https://doi.org/10.1177/1526602817745779

APA

Spanos, K., Tsilimparis, N., Heidemann, F., Rohlffs, F., Behrendt, C-A., Debus, E. S., & Kölbel, T. (2018). Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm. J ENDOVASC THER, 25(1), 16-20. https://doi.org/10.1177/1526602817745779

Vancouver

Spanos K, Tsilimparis N, Heidemann F, Rohlffs F, Behrendt C-A, Debus ES et al. Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm. J ENDOVASC THER. 2018 Feb;25(1):16-20. https://doi.org/10.1177/1526602817745779

Bibtex

@article{158043c956a84027a6a8a7b6df691302,
title = "Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm",
abstract = "PURPOSE: To describe planning and a technique for fenestrated endovascular repair of a large Crawford type IV thoracoabdominal aortic aneurysm after previous 2-fenestration endovascular aneurysm repair (FEVAR).TECHNIQUE: The first FEVAR procedure performed at another center implanted a standard Zenith device with 2 fenestrations and 1 scallop for a juxtarenal abdominal aortic aneurysm. The diameter of the Crawford type IV thoracoabdominal aortic aneurysm had progressed from 68 to 75 mm within a year after the FEVAR. Since the celiac trunk was already occluded, a 3-fenestration 22-×172-mm stent-graft was chosen to extend the existing stent-graft further proximally. A tapered 38/22-×179-mm Zenith custom-made device was designed for the thoracic component. The technique addresses several issues that arise during a FEVAR-in-FEVAR case, such as the orientation of the new stent-graft and its fenestrations, the absence of space between the 2 devices for maneuvers, and the difficulty in catheterizing target vessels with existing bridging stents, for which a bailout {"}snare-ride{"} maneuver is described.CONCLUSION: FEVAR after previous FEVAR is a feasible and efficient treatment option. The modified {"}snare-ride{"} technique can be used to catheterize target vessels in the absence of an Indy snare.",
keywords = "Aortic Aneurysm, Abdominal/diagnostic imaging, Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/instrumentation, Disease Progression, Endovascular Procedures/instrumentation, Humans, Prosthesis Design, Stents, Treatment Outcome",
author = "Konstantinos Spanos and Nikolaos Tsilimparis and Franziska Heidemann and Fiona Rohlffs and Christian-Alexander Behrendt and Debus, {Eike Sebastian} and Tilo K{\"o}lbel",
year = "2018",
month = feb,
doi = "10.1177/1526602817745779",
language = "English",
volume = "25",
pages = "16--20",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "1",

}

RIS

TY - JOUR

T1 - Technique for Fenestrated Stent-Graft Implantation as a Proximal Extension to a Previous Fenestrated Endovascular Repair for Abdominal Aortic Aneurysm

AU - Spanos, Konstantinos

AU - Tsilimparis, Nikolaos

AU - Heidemann, Franziska

AU - Rohlffs, Fiona

AU - Behrendt, Christian-Alexander

AU - Debus, Eike Sebastian

AU - Kölbel, Tilo

PY - 2018/2

Y1 - 2018/2

N2 - PURPOSE: To describe planning and a technique for fenestrated endovascular repair of a large Crawford type IV thoracoabdominal aortic aneurysm after previous 2-fenestration endovascular aneurysm repair (FEVAR).TECHNIQUE: The first FEVAR procedure performed at another center implanted a standard Zenith device with 2 fenestrations and 1 scallop for a juxtarenal abdominal aortic aneurysm. The diameter of the Crawford type IV thoracoabdominal aortic aneurysm had progressed from 68 to 75 mm within a year after the FEVAR. Since the celiac trunk was already occluded, a 3-fenestration 22-×172-mm stent-graft was chosen to extend the existing stent-graft further proximally. A tapered 38/22-×179-mm Zenith custom-made device was designed for the thoracic component. The technique addresses several issues that arise during a FEVAR-in-FEVAR case, such as the orientation of the new stent-graft and its fenestrations, the absence of space between the 2 devices for maneuvers, and the difficulty in catheterizing target vessels with existing bridging stents, for which a bailout "snare-ride" maneuver is described.CONCLUSION: FEVAR after previous FEVAR is a feasible and efficient treatment option. The modified "snare-ride" technique can be used to catheterize target vessels in the absence of an Indy snare.

AB - PURPOSE: To describe planning and a technique for fenestrated endovascular repair of a large Crawford type IV thoracoabdominal aortic aneurysm after previous 2-fenestration endovascular aneurysm repair (FEVAR).TECHNIQUE: The first FEVAR procedure performed at another center implanted a standard Zenith device with 2 fenestrations and 1 scallop for a juxtarenal abdominal aortic aneurysm. The diameter of the Crawford type IV thoracoabdominal aortic aneurysm had progressed from 68 to 75 mm within a year after the FEVAR. Since the celiac trunk was already occluded, a 3-fenestration 22-×172-mm stent-graft was chosen to extend the existing stent-graft further proximally. A tapered 38/22-×179-mm Zenith custom-made device was designed for the thoracic component. The technique addresses several issues that arise during a FEVAR-in-FEVAR case, such as the orientation of the new stent-graft and its fenestrations, the absence of space between the 2 devices for maneuvers, and the difficulty in catheterizing target vessels with existing bridging stents, for which a bailout "snare-ride" maneuver is described.CONCLUSION: FEVAR after previous FEVAR is a feasible and efficient treatment option. The modified "snare-ride" technique can be used to catheterize target vessels in the absence of an Indy snare.

KW - Aortic Aneurysm, Abdominal/diagnostic imaging

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Blood Vessel Prosthesis

KW - Blood Vessel Prosthesis Implantation/instrumentation

KW - Disease Progression

KW - Endovascular Procedures/instrumentation

KW - Humans

KW - Prosthesis Design

KW - Stents

KW - Treatment Outcome

U2 - 10.1177/1526602817745779

DO - 10.1177/1526602817745779

M3 - SCORING: Journal article

C2 - 29235384

VL - 25

SP - 16

EP - 20

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 1

ER -