To describe an endovascular technique to close a renal artery fenestration during fenestrated endograft implant for a para-renal aneurysm (p-AAA) without interfering with other visceral vessels REPORT: A 76-year-old-male with p-AAA underwent repair by a four fenestrations custom-made endograft. At the intra-procedural angiography, the right renal artery was occluded. In order to avoid a high-flow endoleak from fenestration, we performed the following technique: a 9F-steerable sheath was used to advance a 7F-sheath through the fenestration into aneurism. A balloon-expandable covered-stent was deployed across the fenestration and then occluded by two vascular plugs. At the completion angiography there was not endoleak from the right renal fenestration and at 6-month p-AAA remained completely excluded.

Renal Fenestration Closure Technique in fenestrated endovascular repair for para-renal aortic aneurysm

Gallitto, E;Gargiulo, M;Faggioli, G;SONETTO, ALESSIA;Mascoli, C;Pini, R;Abualhin, M;Stella, A
2018

Abstract

To describe an endovascular technique to close a renal artery fenestration during fenestrated endograft implant for a para-renal aneurysm (p-AAA) without interfering with other visceral vessels REPORT: A 76-year-old-male with p-AAA underwent repair by a four fenestrations custom-made endograft. At the intra-procedural angiography, the right renal artery was occluded. In order to avoid a high-flow endoleak from fenestration, we performed the following technique: a 9F-steerable sheath was used to advance a 7F-sheath through the fenestration into aneurism. A balloon-expandable covered-stent was deployed across the fenestration and then occluded by two vascular plugs. At the completion angiography there was not endoleak from the right renal fenestration and at 6-month p-AAA remained completely excluded.
Gallitto, E; Gargiulo, M; Faggioli, G; Sonetto, A; Mascoli, C; Pini, R; Abualhin, M; Stella, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/621339
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