Dutch experience with the fenestrated Anaconda endograft for short-neck infrarenal and juxtarenal abdominal aortic aneurysm repair

Dijkstra, Martijn; Tielliu, Ignace F.J.; Meerwaldt, Robbert; Pierie, M.E.; Brussel, Jerome van; Schurink, Geert Willem H.; Lardenoye, J.H.P.; Zeebregts, Clark J.

doi:10.1016/j.jvs.2014.02.011

Cited by 44 publications

(50 citation statements)

References 21 publications

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“…The construction of the fenestrated Anaconda graft and the release sequence of this device have been described previously. 8,9 In contrast to other fenestrated devices currently available, the fenestrated Anaconda graft features a repositioning mechanism that enables the operator to free the proximal sealing rings from the aortic wall as long as the two fixation wires attaching the device to the delivery system have not been pulled. Repositioning can be done around the longitudinal axis as well as upward, and, to a smaller degree, downward.…”

Section: Methodsmentioning

confidence: 99%

Rescue of failed endovascular aortic aneurysm repair using the fenestrated Anaconda device

Falkensammer

Taher

Uhlmann

et al. 2017

Journal of Vascular Surgery

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The risk of a failure to cannulate one or more visceral arteries through the respective fenestrations was increased in patients who had previously undergone EVAR. This is most likely caused by increased friction between the fenestrated endograft and the failing graft in situ, which may impair the adaption of the unsupported Anaconda device to the aortic wall. As a consequence, fenestrations may not line up perfectly at the respective openings of the visceral or renal arteries, and folding of the fabric may be increased, making cannulation of the fenestrations more difficult.

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Section: Methodsmentioning

confidence: 99%

Rescue of failed endovascular aortic aneurysm repair using the fenestrated Anaconda device

Falkensammer

Taher

Uhlmann

et al. 2017

Journal of Vascular Surgery

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“…42,57,63 The surgeon/interventionalist and his tools (armamentarium) and imaging facility (operating theatre environment) are important for the FEVAR procedure. Current developments in fixed X-ray platforms enable advanced intraoperative imaging options 55 No multiple or important accessory renal anatomy 44 (consider intentional coverage of small accessory branches if these contribute to < 25% of both kidneys or < 40% of one kidney) 55 No Excessive angulation (> 60°) poses the risk of SG malrotation/misalignment, making implantation more difficult and imperfect, adds strain into the visceral stents and may compromise the apposition between the SG fabric and the aortic wall.…”

Section: Surgeon and Facility-based Criteriamentioning

confidence: 99%

Fenestrated stent grafts for the treatment of complex aortic aneurysm disease: A mature treatment paradigm

et al. 2016

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The introduction of fenestrated stent grafts (SGs) to treat abdominal aortic aneurysms (AAAs) with short proximal necks began in 1999. Nowadays, the whole visceral aorta can be treated totally by endovascular means. The established use of fenestrated devices to treat complex AAAs as a first-line management option has been previously reported. An up-to-date evaluation of the literature was performed including all types of publications regarding the use of fenestrated technology to repair complex AAAs. Fenestrated repair is now an established alternative to hybrid/chimney/snorkel repairs. However, specific criteria and prerequisites are required for the use and improvement of this method. Multiple device morphologies have been used incorporating the visceral arteries in various combinations. This modular strategy connects different devices (bridging covered stents and bifurcated SGs) with the aortic main body, thus excluding the aneurysm from the circulation. Precise deployment of the fenestrated SG is mandatory for successful visceral vessel revascularization. Accurate SG sizing and customization, a high level of technical skill, and facilities with modern imaging techniques including 3D road mapping and dedicated hybrid rooms are required. Most experience has been with the custom-made Zenith Cook platform, although off-the-shelf devices have been recently implanted. More complex repairs have been performed over the last few years, but device complexity has also increased. Perioperative, mid-term, and a few recently reported long-term results are encouraging. Secondary interventions remain the main problem, similar to that observed after traditional endovascular abdominal aortic aneurysm repair (EVAR).

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“…The most extensive experience has been with a single main body platform (Cook Medical, Brisbane, Australia); however, recently, two other companies have produced devices e the Fenestrated AnacondaÔ (Vascutek, Paisley, Scotland) and the VentanaÔ Fenestrated System (Endologix, Irvine, CA, USA). 3,4 Over the last 15 years evolution of the AMB has taken place. First came fenestrations with different diameters, with or without nitinol ring structures, and then came helical and axial branches, directed up or downward, and internally or externally placed.…”

Section: Introductionmentioning

confidence: 99%

Performance of Bridging Stent Grafts in Fenestrated and Branched Aortic Endografting

Panuccio

Bisdas

Berekoven

et al. 2015

European Journal of Vascular and Endovascular Surgery

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Dutch experience with the fenestrated Anaconda endograft for short-neck infrarenal and juxtarenal abdominal aortic aneurysm repair

Abstract: Initial and short-term results of FEVAR using the fenestrated Anaconda endograft are promising, with acceptable technical success and short-term complication rates. Growing experience and long-term results are needed to support these findings.

Cited by 44 publications

References 21 publications

Rescue of failed endovascular aortic aneurysm repair using the fenestrated Anaconda device

Rescue of failed endovascular aortic aneurysm repair using the fenestrated Anaconda device

Fenestrated stent grafts for the treatment of complex aortic aneurysm disease: A mature treatment paradigm

Performance of Bridging Stent Grafts in Fenestrated and Branched Aortic Endografting

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