Abstract
Complex endovascular aortic repair requires mastering advanced skills for branch vessel catheterization and stenting, in addition to the skills needed for standard infra-renal and thoracic aortic endografting. Physicians may have to deal with unanticipated problems created by tortuous anatomy or intra-procedural complications. This chapter outlines the basic principles of branch vessel incorporation and how to deal with complications during endovascular repair using fenestrated, branched, and parallel stent-grafts.
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Greenberg R, Eagleton M, Mastracci T. Branched endografts for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg. 2010;140(6 Suppl):S171–8.
Guillou M, Bianchini A, Sobocinski J, Maurel B, D’Elia P, Tyrrell M, et al. Endovascular treatment of thoracoabdominal aortic aneurysms. J Vasc Surg. 2012;56(1):65–73.
Haulon S, Amiot S, Magnan PE, Becquemin JP, Lermusiaux P, Koussa M, et al. An analysis of the French multicentre experience of fenestrated aortic endografts: medium-term outcomes. Ann Surg. 2010;251(2):357–62.
Greenberg RK, Sternbergh III WC, Makaroun M, Ohki T, Chuter T, Bharadwaj P, et al. Intermediate results of a United States multicenter trial of fenestrated endograft repair for juxtarenal abdominal aortic aneurysms. J Vasc Surg. 2009;50(4):730–7.e1.
Conway BD, Greenberg RK, Mastracci TM, Hernandez AV, Coscas R. Renal artery implantation angles in thoracoabdominal aneurysms and their implications in the era of branched endografts. J Endovasc Ther. 2010;17(3):380–7.
Dowdall JF, Greenberg RK, West K, Moon M, Lu Q, Francis C, et al. Separation of components in fenestrated and branched endovascular grafting—branch protection or a potentially new mode of failure? Eur J Vasc Endovasc Surg. 2008;36(1):2–9.
Martin-Gonzalez T, Pincon C, Maurel B, Hertault A, Sobocinski J, Spear R, et al. Renal outcomes following fenestrated and branched endografting. Eur J Vasc Endovasc Surg. 2015;50(4):420–30.
Mastracci TM, Eagleton MJ, Kuramochi Y, Bathurst S, Wolski K. Twelve-year results of fenestrated endografts for juxtarenal and group IV thoracoabdominal aneurysms. J Vasc Surg. 2015;61(2):355–64.
Mohabbat W, Greenberg RK, Mastracci TM, Cury M, Morales JP, Hernandez AV. Revised duplex criteria and outcomes for renal stents and stent grafts following endovascular repair of juxtarenal and thoracoabdominal aneurysms. J Vasc Surg. 2009;49(4):827–37; discussion 37.
Oderich GS, Correa MP, Mendes BC. Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft. J Vasc Surg. 2014;59(5):1456–61.
Oderich GS, Greenberg RK, Farber M, Lyden S, Sanchez L, Fairman R, et al. Results of the United States multicenter prospective study evaluating the Zenith fenestrated endovascular graft for treatment of juxtarenal abdominal aortic aneurysms. J Vasc Surg. 2014;60(6):1420–8.e1–5.
Oderich GS, Mendes BC, Correa MP. Preloaded guidewires to facilitate endovascular repair of thoracoabdominal aortic aneurysm using a physician-modified branched stent graft. J Vasc Surg. 2014;59(4):1168–73.
Oderich GS, Mendes BC, Kanamori KS. Technique of implantation and bail-out maneuvers for endovascular fenestrated repair of juxtarenal aortic aneurysms. Perspect Vasc Surg Endovasc Ther. 2013;25(1-2):28–37.
Park JH, Chung JW, Choo IW, Kim SJ, Lee JY, Han MC. Fenestrated stent-grafts for preserving visceral arterial branches in the treatment of abdominal aortic aneurysms: preliminary experience. J Vasc Interv Radiol. 1996;7(6):819–23.
Uflacker R, Robison JD, Schonholz C, Ivancev K. Clinical experience with a customized fenestrated endograft for juxtarenal abdominal aortic aneurysm repair. J Vasc Interv Radiol. 2006;17(12):1935–42.
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© 2017 Mayo Foundation for Medical Education and Research
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Baker, A.C., Oderich, G.S. (2017). Principles of Side Branch Incorporation and “Bail Out” Maneuvers. In: Oderich, G. (eds) Endovascular Aortic Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-15192-2_19
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DOI: https://doi.org/10.1007/978-3-319-15192-2_19
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