title: 'In-stock' fenestrated stent graft for the urgent repair of an abdominal aortic aneurysm.
abstract: Endovascular aneurysm repair (EVAR) is a minimally invasive method for the treatment of abdominal aortic aneurysms; however, the implementation of this technique is often limited by the aortic pathology, especially in the urgent or emergent setting. An 82-year-old male with a 7.3 cm symptomatic juxtarenal aneurysm presented at our centre for assessment. He was diagnosed as a high-risk candidate for open repair and therefore, not suitable for a conventional EVAR. Fortunately, a custom two-vessel fenestrated stent graft, which was originally constructed for another patient, was available. This device was implanted with no complications and all branches remain unobstructed; clear of aneurysms at 1 year. We present the use of 'in-stock' fenestrated grafts as a potential option to be considered in the urgent or emergent repair of abdominal aortic aneurysms.
authors.affiliation: Toronto General Hospital, Toronto, Ontario, Canada Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Sean A
authors.identifier: http://orcid.org/0000-0002-0665-4772
authors.initials: SA
authors.lastname: Crawford
authors.affiliation: Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Matthew G
authors.initials: MG
authors.lastname: Doyle
authors.affiliation: Toronto General Hospital, Toronto, Ontario, Canada.
authors.forename: Leonard W
authors.initials: LW
authors.lastname: Tse
authors.affiliation: Toronto General Hospital, Toronto, Ontario, Canada.
authors.forename: Graham
authors.initials: G
authors.lastname: Roche-Nagle
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome