title: Preliminary results of Zenith Fenestrated abdominal aortic aneurysm endovascular grafts.
abstract: BACKGROUND
  Patients with juxtarenal aortic aneurysms who are unfit for open repair may be considered for fenestrated endovascular repair (fenEVAR). We report our initial experience with fenEVAR.
  
  
  METHODS
  We reviewed the data on all our patients receiving fenEVAR for juxtarenal aortic aneurysms.
  
  
  RESULTS
  Eight patients, average age 75 years, underwent fenEVAR. Endografts were designed from details obtained from preoperative computed tomography angiography. There were 6 grafts with superior mesenteric scallops and bilateral renal fenestrations, 1 with bilateral renal scallops, and 1 with a single renal fenestration. All patients survived 30 days. There was no renal failure requiring dialysis. At 10 weeks, 1 patient died from acute intestinal ischemia and multisystem organ failure, and another died from respiratory failure.
  
  
  CONCLUSIONS
  It is feasible to offer fenEVAR to patients who are poor candidates for open repair. However, these procedures are technically challenging. Early outcomes are less favorable than other aortic endovascular procedures.
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
authors.forename: Timothy H
authors.initials: TH
authors.lastname: Liao
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Watson
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA. Electronic address: Ashraf.mansour@spectrumhealth.org.
authors.forename: M Ashraf
authors.initials: MA
authors.lastname: Mansour
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
authors.forename: Robert F
authors.initials: RF
authors.lastname: Cuff
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
authors.forename: Shonda L
authors.initials: SL
authors.lastname: Banegas
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Chambers
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
authors.forename: Jason D
authors.initials: JD
authors.lastname: Slaikeu
authors.affiliation: Department of Surgery, Spectrum Health Medical Group, Grand Rapids Medical Education Partners, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
authors.forename: Peter Y
authors.initials: PY
authors.lastname: Wong
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design
keywords: Endovascular repair; Fenestrated; Juxtarenal aortic aneurysm; Scallop