title: Salvage of failed prior endovascular abdominal aortic aneurysm repair with fenestrated endovascular stent grafts.
abstract: Three patients with type I proximal endoleak after previous endovascular abdominal aortic aneurysm (AAA) repair were treated with fenestrated endovascular stent grafts. Six renal arteries, three superior mesenteric arteries, and one coeliac axis were targeted for incorporation by graft fenestration. The fenestration-renal ostium interface was secured with balloon-expandable stents and completion angiography demonstrated no endoleaks and antegrade perfusion in all target vessels. All patients made an uncomplicated recovery. Fenestrated endovascular stent grafts can be used to salvage failed prior endovascular AAA repair in patients who are considered unsuitable for other endovascular or open surgical interventions.
authors.affiliation: Birmingham Heartlands Hospital, Birmingham, United Kingdom. Donald.Adam@heartofengland.nhs.uk
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Adam
authors.forename: Robert A
authors.initials: RA
authors.lastname: Fitridge
authors.forename: Michael
authors.initials: M
authors.lastname: Berce
authors.forename: David E
authors.initials: DE
authors.lastname: Hartley
authors.forename: John L
authors.initials: JL
authors.lastname: Anderson
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D017130:Angioplasty; D017544:Aortic Aneurysm, Abdominal / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D015641:Radiography, Interventional; D012086:Reoperation; D015607:Stents; D016896:Treatment Outcome