Shahverdyan Robert, Gray Daphne, Gawenda Michael, Brunkwall Jan
Department of Vascular Surgery, University Hospital of Cologne, Cologne, Germany.
Department of Vascular Surgery, University Hospital of Cologne, Cologne, Germany.
J Vasc Surg. 2015 May;61(5):1324-8. doi: 10.1016/j.jvs.2013.10.089. Epub 2013 Dec 22.
We demonstrate for the first time the technical feasibility of total endovascular aneurysm repair for juxtarenal and pararenal aortoiliac aneurysms by combining the Vascutek Anaconda custom-made fenestrated stent graft with the Cook Zenith iliac side-branched stent graft. Three patients (two male and one female) presented with asymptomatic pararenal aortoiliac aneurysm in the first case and juxtarenal aorto-left iliac aneurysms in the second and third cases. We successfully deployed the Anaconda fenestrated and the iliac side-branched stent graft combined with Atrium Advanta V12 stent grafts for renal, superior mesenteric, and hypogastric arteries. Postoperative computed tomography demonstrated excluded aneurysms with patent renovisceral and hypogastric arteries and no signs of endoleak.
