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Review
. 2004 Aug;47(4):257-62.

Branched endovascular stent-graft for suprarenal aortic aneurysm: the future of aortic stent-grafting?

Leonard W Tse  1 , Oren K Steinmetz, Cherrie Z Abraham, David A Valenti, Kent S Mackenzie, Daniel I Obrand, Timothy A Chuter
Affiliations
Review

Branched endovascular stent-graft for suprarenal aortic aneurysm: the future of aortic stent-grafting?

Leonard W Tse et al. Can J Surg. 2004 Aug.

Abstract
in English, French

The use of a branched endovascular stent-graft to repair an aneurysm of the visceral aorta is described. The evolving role of branched endovascular stent-grafts in the management of aortic aneurysms is discussed, and the literature reviewed.

Description de l'utilisation d'une endoprothèse bifurquée pour réparer un anévrisme de l'aorte viscérale, discussion de l'évolution du rôle de l'endoprothèse bifurquée dans le traitement des anévrismes de l'aorte et présentation d'une recension des écrits.

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Figures

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FIG. 1. Preoperative aortograms. A. Lateral view, showing the aortic aneurysm (large arrow) extending superiorly to the level of the patent superior mesenteric artery (small arrow). B. Anteroposterior view, demonstrating the components of the aortic aneurysm (large arrows) above and below a patent right-renal artery (small arrows).
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FIG. 2. Photograph of the homemade branched stent–graft prior to sterilization and packaging onto the delivery system. The branches to the celiac (large arrow), the superior mesenteric (small arrow) and right renal arteries (double arrows) were hand-sewn to the main body of the endograft.
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FIG. 3. Intraoperative angiogram demonstrating covered stents (double arrows) connecting the main body of the endograft (large arrow) to the right renal artery (small arrow).
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FIG. 4. Completion angiogram showing patent celiac (large arrow), superior mesenteric (small arrow) and renal arteries (double arrows), with no contrast filling in the excluded aneurysm sac.
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FIG. 5. Axial computed-tomographic images. A. Preoperative, at the level of the superior mesenteric artery. B. Postoperative, showing a patent superior mesenteric artery (small arrow) and no contrast filling in the thrombosed, excluded aneurysm sac (large arrow).
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FIG. 6. Three-dimensional reconstruction by computed tomography of the 11-component branched endograft at 8 months postprocedure.
See this image and copyright information in PMC

References

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