title: Practical points of attention beyond instructions for use with the Zenith fenestrated stent graft.
abstract: Fenestrated stent grafting for endovascular repair (F-EVAR) aims to treat patients with abdominal aortic aneurysms that are unsuitable for standard EVAR because of a short or absent infrarenal neck. F-EVAR has been used initially in patients with higher surgical risk with pararenal abdominal aortic aneurysms, but F-EVAR is now increasingly considered a treatment alternative to open surgery in anatomically suitable patients. F-EVAR has benefitted from ongoing technical refinements and accumulating clinical experience but remains a relatively complex procedure. Correct indication, accurate preoperative planning, and meticulous execution are the key to long-term success. Considering the growing interest in F-EVAR worldwide, including the United States, we discuss current indications and provide advice for planning and technical execution on the basis of the senior authors' 13 years of experience.
authors.affiliation: Department of Vascular and Endovascular Surgery, Klinikum Nürnberg Süd, Nürnberg, Germany; Department of Vascular Surgery, Hospital Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal; Department of Vascular and Endovascular Surgery and Department of Interventional Radiology, University Hospital Leuven, Leuven, Belgium. Electronic address: eric.verhoeven@klinikum-nuernberg.de.
authors.forename: Eric L G
authors.initials: EL
authors.lastname: Verhoeven
authors.affiliation: Department of Vascular and Endovascular Surgery, Klinikum Nürnberg Süd, Nürnberg, Germany.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Katsargyris
authors.affiliation: Department of Vascular Surgery, Hospital Santa Maria, Faculty of Medicine, University of Lisbon, Lisbon, Portugal.
authors.forename: Ruy
authors.initials: R
authors.lastname: Fernandes e Fernandes
authors.affiliation: Department of Vascular and Endovascular Surgery, University Federico II of Naples, Naples, Italy.
authors.forename: Umberto M
authors.initials: UM
authors.lastname: Bracale
authors.affiliation: Department of Vascular and Endovascular Surgery and Department of Interventional Radiology, University Hospital Leuven, Leuven, Belgium.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Houthoofd
authors.affiliation: Department of Vascular and Endovascular Surgery and Department of Interventional Radiology, University Hospital Leuven, Leuven, Belgium.
authors.forename: Geert
authors.initials: G
authors.lastname: Maleux
mesh_terms: D017130:Angioplasty / Q000379:methods*; D017544:Aortic Aneurysm, Abdominal / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D006801:Humans; D010347:Patient Care Planning; D018579:Patient Selection; D015607:Stents; D058017:Vascular Grafting / Q000379:methods*