title: Off-the-shelf branched endograft for emergent aneurysm repair.
abstract: A 65-year-old man with a tender, 98-mm-diameter, pararenal aortic aneurysm was referred to our center. This patient was unfit for open repair and could not wait 8 weeks for a custom-made endograft to be manufactured. We describe the endovascular treatment of his aneurysm with a 4-branch endograft that had been constructed for another patient. He had an uneventful recovery. Postoperative CT scan confirmed patency of all visceral branches and exclusion of the aneurysm. Various branched and fenestrated endografts are or will soon be available "off-the-shelf" to treat ruptured or symptomatic pararenal and thoracoabdominal aneurysms. We assess the pros and cons of this new generation of endografts designed to adapt to most aortic anatomies.
authors.affiliation: Vascular Surgery and Radiology, Hôpital Cardiologique, CHRU de Lille, Lille, France.
authors.forename: David
authors.initials: D
authors.lastname: Barillà
authors.forename: Matthieu
authors.initials: M
authors.lastname: Guillou
authors.forename: Blandine
authors.initials: B
authors.lastname: Maurel
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sobocinski
authors.forename: Marco
authors.initials: M
authors.lastname: Midulla
authors.forename: Mark
authors.initials: M
authors.lastname: Tyrrell
authors.forename: Stéphan
authors.initials: S
authors.lastname: Haulon
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014654:Vascular Patency