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Review
. 2023 Mar 7;19(2):15-23.
doi: 10.14797/mdcvj.1200. eCollection 2023.

Branched and Fenestrated Aortic Endovascular Grafts

Aidan D Atkins  1 , Marvin D Atkins  2
Affiliations
Review

Branched and Fenestrated Aortic Endovascular Grafts

Aidan D Atkins et al. Methodist Debakey Cardiovasc J. .

Abstract

Endovascular repair of abdominal and descending thoracic aortic aneurysms has become the standard of care due to improvements in morbidity and mortality compared to open surgical repair. Late durability, however, remains an issue because persistent endoleaks can lead to continued aneurysm expansion and eventual rupture, sometimes years following the original repair. Branched, fenestrated, and physician-modified endografts in the thoracic arch and thoracoabdominal aorta have extended the seal zone in order to mitigate the risks of proximal and distal endoleaks. This review summarizes the current state of branched, fenestrated, and physician-modified endografts used in complex aortic pathologies.

Keywords: branched endograft; complex abdominal aortic aneurysm; fenestrated endograft; physician modified endograft; thoracic aortic aneurysm; thoracoabdominal aortic aneurysm.

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Conflict of interest statement

The authors have no competing interests to declare.

Figures

Cook Fenestrated ZFEN device
Figure 1
Cook Fenestrated ZFEN device. Courtesy of Cook Medical.
Cook p-Branch device with hinged, adaptive renal fenestration
Figure 2
Cook p-Branch device with hinged, adaptive renal fenestration. Courtesy of Cook Medical.
Gore TAMBE thoracoabdominal device
Figure 3
Gore TAMBE thoracoabdominal device. GORE® EXCLUDER Thoracoabdominal Branch Endoprosthesis © 2023.
Cook t-Branch thoracoabdominal device
Figure 4
Cook t-Branch thoracoabdominal device. Courtesy of Cook Medical.
Medtronic Valiant thoracoabdominal aortic aneurysm device
Figure 5
Medtronic Valiant thoracoabdominal aortic aneurysm device. Used with permission.
Gore thoracic branch endograft device
Figure 6
Gore thoracic branch endograft device. GORE thoracic branch endograft © 2023.
See this image and copyright information in PMC

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