Korean Circ J.  2025 Mar;55(3):251-255. 10.4070/kcj.2024.0297.

Successful Customized Fenestrated Endovascular Aortic Aneurysm Repair in a Patient With Complex Abdominal Aortic Aneurysm

• Sinurat MR
• Kang S
• Park S
• Rha SW

• KMID: 2565817
• DOI: http://doi.org/10.4070/kcj.2024.0297

Figure

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  Figure 1 Baseline CT aortography and customized fenestrated stent graft. (A) Baseline CT aortography (neck diameter: 26 mm, max abdominal aortic aneurysm diameter: 55 mm, no proximal landing zone). (B) Schematic presentation of customized fenestrated stent graft design according to 3-dimensional CT angiography.CT = computed tomography.

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  Figure 2 Detailed customized stent graft implantation procedure. (A) Both renal angiographies to demarcate renal artery ostium (yellow arrow). (B) Deployment of seal fenestrated customized stent graft 26×120 mm (Seal, S&G Inc., Seoul, Korea). (C) Main body: contralateral and ipsilateral limb deployment, followed by adjuvant post dilation. (D) Final angiography: type 1a endoleak from right renal artery (yellow arrow).

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  Figure 3 Serial CT follow-up showed resolution of endoleak after stent graft implantation. (A) Both renal arteries stent graft implantation. Final aortography with disappearance of endoleak (yellow arrow). (B) CT axial and coronal view (baseline to 6-month follow-up).CT = computed tomography.

Reference

1. Baldeh T, Reilly T, Mansoor T, et al. Systematic review and meta-analysis of fenestrated and chimney/snorkel techniques for endovascular repair of juxtarenal aortic aneurysms. J Endovasc Ther. 2024; [Epub ahead of print].

2. Elahwal M, Richards T, Imsirovic A, Bagga R, Almond G, Yusuf SW. Systematic review of the results of fenestrated endovascular aortic repair in octogenarians. Ann R Coll Surg Engl. 2024; 106:106–117. PMID: 37642117.

3. Becker D, Fernandez Prendes C, Stana J, et al. Outcome of the be graft bridging stent in fenestrated endovascular aortic repair in a high-volume single center and an overview of current evidence. J Endovasc Ther. 2024; [Epub ahead of print].