A novel off-the-shelf single-fenestrated stent graft for emergent complex aortic aneurysm repair

Maysam Shehab; Gisli Gunnar Jónsson; Marek Kuzniar; Kevin Mani; David Lindström; Anders Wanhainen

doi:10.1016/j.jvscit.2023.101362

A novel off-the-shelf single-fenestrated stent graft for emergent complex aortic aneurysm repair

J Vasc Surg Cases Innov Tech. 2023 Oct 30;9(4):101362. doi: 10.1016/j.jvscit.2023.101362. eCollection 2023 Dec.

Authors

Maysam Shehab¹, Gisli Gunnar Jónsson¹, Marek Kuzniar¹, Kevin Mani¹, David Lindström¹, Anders Wanhainen^{1

2}

Affiliations

¹ Division of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
² Division of Surgery, Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.

Abstract

The off-the-shelf single fenestrated stent graft is based on the Cook Zenith fenestrated platform (Cook Medical Europe) with a premade 8-mm fenestration for the superior mesenteric artery (SMA). The device is suitable for emergency treatment of paravisceral aneurysms when combined with in situ laser fenestration for the renal arteries (and, if required, the celiac trunk). The presence of a premade SMA fenestration results in minimal visceral ischemia time. We present the case of a 69-year-old woman with a ruptured Crawford type I thoracoabdominal aortic aneurysm and a tandem abdominal aortic aneurysm that was treated successfully using the single fenestrated device with in situ laser fenestration for the renal arteries, with no SMA ischemia time. A 6-month computed tomography angiogram showed patent renovisceral stents without an endoleak.

Keywords: Juxtarenal AAA; Off-the-shelf stent graft; Single fenestration; Superior mesenteric artery; Thoracoabdominal aortic aneurysm.

Publication types

Case Reports