Work

Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts

Year: 2024

Type: article

Abstract: Endovascular techniques have become the preferred method for treating complex aortic aneurysms , but some cases require individualized strategies beyond manufacturer specifications. We report a 62-year-old male with a 64 mm juxtarenal abdominal aortic aneurysm , right above-knee amputation, and dependence on the right hypogastric artery. The patient's complex anatomy necessitated a custom solution including fEVAR . Access was gained through the left femoral and brachial arteries due to an occluded right external iliac artery . The right hypogastric artery was treated with covered stents via transbrachial access. This case highlights the potential for treating complex aortic aneurysms using patient-individualized endoprostheses and creative endovascular solutions outside standard instructions-for-use.

Source: Annals of Vascular Surgery - Brief Reports and Innovations

DOI: 10.1016/j.avsurg.2024.100340

Authors: Bernhard Hruschka, Alexander Gombert, Panagiotis Doukas, Christian Uhl, Moustafa Elfeky

Institutions: Universitätsklinikum Aachen, RWTH Aachen University

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,500