title: [Endovascular exclusion of juxtarenal abdominal aortic aneurysm with one-piece customized fenestrated endovascular stent-graft].
abstract: OBJECTIVE
  To evaluate the technical feasibility of juxtarenal abdominal aortic aneurysm (AAA) repair with fenestrated endovascular stent-graft
  
  
  METHODS
  A 64-year-old male was diagnosed with juxtarenal AAA with severe coronary artery stenosis, fenestrations was customized according to precise helical CT data to accommodate visceral and renal arteries. Under general anesthesia and dynamic supervision of digital subtraction angiography (DSA), juxtarenal AAA was excluded with the customized fenestrated stent-graft and balloon expandable mini stent-grafts were deployed into bilateral renal arteries respectively.
  
  
  RESULTS
  After operation, DSA showed the patency of the super mesenteric artery, bilateral renal arteries and left hypogastric artery, no endoleak was found. The serum creatinine decreased slightly after operation. CT angiography revealed favorable morphology of the stent-graft without tortuosity, migration, disjoint and endoleak 10 days after the operation and patency of super mesenteric artery, bilateral renal arteries and left hypogastric artery.
  
  
  CONCLUSIONS
  The placement of customized fenestrated endovascular stent-graft is a feasible option for juxtarenal AAA.
authors.affiliation: Department of Vascular Surgery, Institute of Vascular Surgery of PLA, Changhai Hospital, Second Military Medical University, Shanghai, China. jingzp@xueguan.net
authors.forename: Zai-ping
authors.initials: ZP
authors.lastname: Jing
authors.forename: Liang-xi
authors.initials: LX
authors.lastname: Yuan
authors.forename: Xiang
authors.initials: X
authors.lastname: Feng
authors.forename: Jun-min
authors.initials: JM
authors.lastname: Bao
authors.forename: Zhi-qing
authors.initials: ZQ
authors.lastname: Zhao
authors.forename: Rui
authors.initials: R
authors.lastname: Feng
authors.forename: Zhi-jun
authors.initials: ZJ
authors.lastname: Mei
authors.forename: Ming-fang
authors.initials: MF
authors.lastname: Liao
authors.forename: Yi-fei
authors.initials: YF
authors.lastname: Pei
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents