Fenestrated Stent Grafting for Short-necked and Juxtarenal Abdominal Aortic Aneurysm: An 8-Year Single-centre Experience

Abstract

Fenestrated stent grafting for short-necked and juxtarenal abdominal aortic aneurysm appears safe and effective on the longer term. Renal function deterioration, however, is a major concern.

Early Experience with Fenestrated Stent Grafts for Treatment of Juxtarenal Aortic Aneurysm

“…23) The placement of our brachio-femoral shunt is technically easier than from Europe and United States have indicated good results of FEVAR using a Cook fenestrated stent-graft for JAA at both initial and mid-term follow-ups. 5,19,20) A recent literature review indicated that FEVAR can be performed with a 30-day mortality rate of 2.1%, 21) which is comparable to the rate for standard EVAR. Although the use of the fenestrated stent-graft has been increasing in western countries after its use was approved by certain governments, it is uncertain when the Japanese government will approve the device with health insurance coverage.…”

Endovascular Repair of Complex Aortic Pathology

“…2). Initial experiences with these devices have shown that total endovascular repair is effective and may reduce morbidity rates in patients with arch, thoracoabdominal, pararenal and juxtarenal aneurysms [14][15][16][17][18][19][20][21]. Treatment of chronic type B aortic dissection with the use of fenestrated devices has also been reported with good preliminary results [22,23].…”

Effectiveness of proximal intra-operative salvage Palmaz stent placement for endoleak during endovascular aneurysm repair

“…Evolution of stent graft design including suprarenal fixation 20 and renal and mesenteric fenestration 21 are examples. Adjunctive neck measures, eg endostapling, 22,23 proximal fibrin glue embolisation, 24 open aortic neck banding, 25 and proximal covered cuff extension 10 may be used in cases of perioperative type 1a endoleak following EVAR.…”