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

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

Author information

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.

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.

PMID:
24636713
DOI:
10.1016/j.jvs.2014.01.065
[Indexed for MEDLINE]
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