title: Utility of a preloaded fenestrated graft in thoracoabdominal aneurysm repair.
abstract: An 84-year-old man with a thoracoabdominal aortic aneurysm was treated using a fenestrated stent graft with a preloaded guidewire system under local anesthesia. He suffered from severe chronic obstructive pulmonary disease. We successfully placed 4 bridging stent grafts for perfusion of the celiac artery, superior mesenteric artery, and bilateral renal arteries via the 4 fenestrations. A preloaded wire system was used to insert a catheter into the celiac artery from the left brachial artery. Our findings indicate that a fenestrated stent graft with a preloaded wire system may expand the indication for treating thoracoabdominal aortic aneurysms in high-risk patients.
authors.affiliation: Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan unno@hama-med.ac.jp.
authors.forename: Naoki
authors.initials: N
authors.lastname: Unno
authors.affiliation: Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Yamamoto
authors.affiliation: Department of Radiology, Okinawa Prefectural Chubu Hospital, Uruma-shi, Okinawa, Japan.
authors.forename: Wataru
authors.initials: W
authors.lastname: Higashiura
authors.affiliation: Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Inuzuka
authors.affiliation: Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Sano
authors.affiliation: Second Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Konno
mesh_terms: D000369:Aged, 80 and over; D000772:Anesthesia, Local; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D016896:Treatment Outcome
keywords: Anesthesia; Aortic aneurysm; Blood vessel prosthesis implantation; Prosthesis design; abdominal; local; thoracic