Practical points of attention beyond instructions for use with the Zenith fenestrated stent graft

Eric L G Verhoeven; Athanasios Katsargyris; Ruy Fernandes e Fernandes; Umberto M Bracale; Sabrina Houthoofd; Geert Maleux

doi:10.1016/j.jvs.2014.01.065

Practical points of attention beyond instructions for use with the Zenith fenestrated stent graft

J Vasc Surg. 2014 Jul;60(1):246-52. doi: 10.1016/j.jvs.2014.01.065. Epub 2014 Mar 14.

Authors

Eric L G Verhoeven¹, Athanasios Katsargyris², Ruy Fernandes e Fernandes³, Umberto M Bracale⁴, Sabrina Houthoofd⁵, Geert Maleux⁵

Affiliations

¹ Department of Vascular and Endovascular Surgery, Klinikum Nürnberg Süd, Nürnberg, Germany; Department of Vascular Surgery, Hospital Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal; Department of Vascular and Endovascular Surgery and Department of Interventional Radiology, University Hospital Leuven, Leuven, Belgium. Electronic address: eric.verhoeven@klinikum-nuernberg.de.
² Department of Vascular and Endovascular Surgery, Klinikum Nürnberg Süd, Nürnberg, Germany.
³ Department of Vascular Surgery, Hospital Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
⁴ Department of Vascular and Endovascular Surgery, University Federico II of Naples, Naples, Italy.
⁵ Department of Vascular and Endovascular Surgery and Department of Interventional Radiology, University Hospital Leuven, Leuven, Belgium.

PMID: 24636713
DOI: 10.1016/j.jvs.2014.01.065

Abstract

Fenestrated stent grafting for endovascular repair (F-EVAR) aims to treat patients with abdominal aortic aneurysms that are unsuitable for standard EVAR because of a short or absent infrarenal neck. F-EVAR has been used initially in patients with higher surgical risk with pararenal abdominal aortic aneurysms, but F-EVAR is now increasingly considered a treatment alternative to open surgery in anatomically suitable patients. F-EVAR has benefitted from ongoing technical refinements and accumulating clinical experience but remains a relatively complex procedure. Correct indication, accurate preoperative planning, and meticulous execution are the key to long-term success. Considering the growing interest in F-EVAR worldwide, including the United States, we discuss current indications and provide advice for planning and technical execution on the basis of the senior authors' 13 years of experience.

MeSH terms

Angioplasty / methods*
Aortic Aneurysm, Abdominal / therapy*
Blood Vessel Prosthesis
Humans
Patient Care Planning
Patient Selection
Stents
Vascular Grafting / methods*