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Back-Table Tailored Stent Grafts

Back-Table Tailored Stent Grafts Research Original Investigation | ASSOCIATION OF VA SURGEONS Surgeon-Modified Fenestrated Endograft to Treat Ruptured Juxtarenal Aneurysm George T. Pisimisis, MD; Panagiotis Kougias, MD; Neal R. Barshes, MD; Carlos F. Bechara, MD Invited Commentary page 449 IMPORTANCE No endovascular devices are commercially available in the United States to treat high–surgical risk patients with aneurysms extending to visceral arteries. Treatment Video at jamasurgery.com options are even further limited for symptomatic patients in need of urgent treatment. OBJECTIVE To describe a successful urgent endovascular repair of a juxtarenal abdominal aortic aneurysm with contained rupture. DESIGN, SETTING, AND PARTICIPANTS A hybrid suite using a surgeon-modified fenestrated endovascular graft and advanced 3-dimensional imaging workstation. The patient was an 82-year-old veteran taking clopidogrel and aspirin for coronary stents with significant cardiopulmonary comorbidities including multiple prior abdominal surgeries and a single functional left kidney. INTERVENTION Surgeon-modified fenestrated endovascular aortic aneurysm repair. MAIN OUTCOMES AND MEASURES Clinical, laboratory, and radiographic improvement. RESULTS The patient was discharged 5 days after an uneventful postoperative course. On short-term follow-up, the patient had an early return to his baseline functional status. The excluded aneurysm sac shrank with patent visceral branches and there was an absence of endoleak on 3-month and 6-month http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Back-Table Tailored Stent Grafts

JAMA Surgery , Volume 149 (5) – May 1, 2014

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2013.4169
pmid
24671404
Publisher site
See Article on Publisher Site

Abstract

Research Original Investigation | ASSOCIATION OF VA SURGEONS Surgeon-Modified Fenestrated Endograft to Treat Ruptured Juxtarenal Aneurysm George T. Pisimisis, MD; Panagiotis Kougias, MD; Neal R. Barshes, MD; Carlos F. Bechara, MD Invited Commentary page 449 IMPORTANCE No endovascular devices are commercially available in the United States to treat high–surgical risk patients with aneurysms extending to visceral arteries. Treatment Video at jamasurgery.com options are even further limited for symptomatic patients in need of urgent treatment. OBJECTIVE To describe a successful urgent endovascular repair of a juxtarenal abdominal aortic aneurysm with contained rupture. DESIGN, SETTING, AND PARTICIPANTS A hybrid suite using a surgeon-modified fenestrated endovascular graft and advanced 3-dimensional imaging workstation. The patient was an 82-year-old veteran taking clopidogrel and aspirin for coronary stents with significant cardiopulmonary comorbidities including multiple prior abdominal surgeries and a single functional left kidney. INTERVENTION Surgeon-modified fenestrated endovascular aortic aneurysm repair. MAIN OUTCOMES AND MEASURES Clinical, laboratory, and radiographic improvement. RESULTS The patient was discharged 5 days after an uneventful postoperative course. On short-term follow-up, the patient had an early return to his baseline functional status. The excluded aneurysm sac shrank with patent visceral branches and there was an absence of endoleak on 3-month and 6-month

Journal

JAMA SurgeryAmerican Medical Association

Published: May 1, 2014

References