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Fenestrated Endovascular Aortic Repair With Chimney Graft for Thoracoabdominal Aneurysm. | LitMetric

AI Article Synopsis

  • - Thoracoabdominal aneurysms are tricky to repair using endovascular methods because they affect key blood vessels like those leading to the kidneys and other organs.
  • - A case series of four patients successfully underwent a complex repair technique called Fenestrated Device and chimney grafts (FEVARCh), which is suitable for those who can't have open surgery.
  • - More research is necessary to understand the risks associated with Type 1a endoleaks and to find ways to prevent movements in the main body graft when adding chimney grafts.

Article Abstract

Thoracoabdominal aneurysms pose technical challenges for endovascular repair due to involvement of visceral and renal vessels. We report a case series of four patients diagnosed with thoracoabdominal aneurysm who underwent complex endovascular repair with Fenestrated Device and chimney grafts (FEVARCh). FEVARCh is a technically feasible approach for repair of thoracoabdominal aneurysms that involve renal, superior mesenteric, and celiac arteries for patients not appropriate for open surgical repair. Further studies are needed to understand the implications of resultant Type 1a endoleaks and strategies to minimize the displacement of the main body graft with adjunct chimneys.

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Source
http://dx.doi.org/10.1177/15385744211068650DOI Listing

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