Experience with a novel custom-made fenestrated stent graft in the repair of juxtarenal and type IV thoracoabdominal aneurysms Alexander E. Rolls, MRCS,

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Presentation transcript:

Experience with a novel custom-made fenestrated stent graft in the repair of juxtarenal and type IV thoracoabdominal aneurysms Alexander E. Rolls, MRCS, Michael Jenkins, MS, FRCS, Colin D. Bicknell, MD, FRCS, Celia V. Riga, MD, MRCS, Nick J. Cheshire, MD, FRCS, Nick Burfitt, FRCR, Mohamad Hamady, MD, FRCR Journal of Vascular Surgery Volume 59, Issue 3, Pages 615-622.e1 (March 2014) DOI: 10.1016/j.jvs.2013.10.038 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Angles measured in preoperative planning. All angles were measured in relation to the long-axis of the aorta. A, Celiac trunk angle. B, Renal artery angle. C, Infrarenal neck angle. D, Common iliac artery angle. Superior mesenteric artery (SMA) angle measured the same way as computed tomography (CT) angle. Journal of Vascular Surgery 2014 59, 615-622.e1DOI: (10.1016/j.jvs.2013.10.038) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Three-dimensional reconstructions demonstrating adverse adverse anatomical features. a, Angulated neck, narrowing of the aorta at the renal level, difficult course of left renal artery, and angulated right common iliac artery. b, Same patient post-treatment. c, Angulated neck, difficult right renal artery take-off, caudally oriented left renal artery, and tortuous iliacs bilaterally. d, Same patient post-treatment. Journal of Vascular Surgery 2014 59, 615-622.e1DOI: (10.1016/j.jvs.2013.10.038) Copyright © 2014 Society for Vascular Surgery Terms and Conditions