Work

Physician-modified and in situ fenestration for visceral aorta repair: Combine techniques to overcome challenges

Year: 2025

Type: article

Abstract: Urgent repair of complex aortic aneurysms not amenable to standard endovascular aneurysm repair is technically challenging and limited by existing technology. Physician-modified endografts are associated with challenges such as time-consuming preparation, the need for graft constraint, and the risk of misalignment-particularly in angulated aortas. In situ fenestration, although a valuable alternative, carries the risk of visceral ischemia. We present the case of a 78-year-old patient with a symptomatic pararenal abdominal aortic aneurysm treated by the combined modalities of a physician-modified endograft and in situ fenestration to overcome these challenges.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.101927

Authors: Martina Bastianon, Davide Esposito, Caterina Melani, Enrica Bosisio, Andrea Sebastiano Savio, Giovanni Pratesi

Institutions: Ospedale Policlinico San Martino, University of Genoa

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: $1,250