Techniques of antegrade in situ laser fenestration for endovascular aortic repair of complex abdominal and thoracoabdominal aortic aneurysms
Alexander D. DiBartolomeo, Sukgu M. Han
Abstract
Antegrade in situ laser fenestration allows for incorporation of visceral and renal arteries during endovascular repair of complex abdominal and thoracoabdominal aortic aneurysms. This technique can be particularly useful for urgent and emergent cases and for centers without access to manufactured fenestrated-branched endovascular aneurysm repair devices. In the present report, we have described two techniques of antegrade in situ fenestration, the common pitfalls, and the anatomic considerations for each technique.
Topics & Concepts
FenestrationMedicineAortic repairAbdominal aortic aneurysmSurgeryIn situAortic aneurysmEndovascular aneurysm repairRadiologyAneurysmPhysicsMeteorologyAortic aneurysm repair treatmentsAortic Disease and Treatment ApproachesVascular Procedures and Complications