Download PDF
CC BY 4.0 · Aorta (Stamford)
DOI: 10.1055/a-2541-8455
How I Do It

Sliding Rail Technique (Mandelli's), a Better Method to Repair Thoracoabdominal Aortic Aneurysms Controlled Release Fenestrated Endoprosthesis

Nilo César Barbosa Mandelli 
1   Department of Vascular and Endovascular Surgery, IC-FUC: Instituto de Cardiologia, Porto Alegre, Rio Grande do Sul, Brazil
,
Felipe Figueiró Teixeira 
1   Department of Vascular and Endovascular Surgery, IC-FUC: Instituto de Cardiologia, Porto Alegre, Rio Grande do Sul, Brazil
,
Felipe do Couto Soares de Paula Barros
2   Department of Vascular Surgery, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
,
Laura Vicentini Correa Brunstein Medical Student
3   Universidade Luterana do Brasil (ULBRA), Canoas, Rio Grande do Sul, Brazil
› Author Affiliations Funding None.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Fenestrated endovascular aortic aneurysm repair is a minimally invasive technique used for the treatment of thoracoabdominal aortic aneurysms (TAAAs). We report an easy method for positioning the controlled-release fenestrated endoprosthesis, associated with a less invasive approach for positioning the endoprosthesis and catheterization of the target vessels through percutaneous access.

Keywords

FEVAR - TAAAs - juxtarenal aneurysms - double brachial access - controlled-release fenestrated endoprosthesis


Publication History

Received: 10 December 2024

Accepted: 18 February 2025

Article published online:
22 April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Oderich GS, Farber MA, Schneider D. et al; Zenith Fenestrated Study Investigators. Final 5-year results of the United States Zenith fenestrated prospective multicenter study for juxtarenal abdominal aortic aneurysms. J Vasc Surg 2021; 73 (04) 1128-1138.e2
    PubMedSearch in Google Scholar
  • 2 Jones AD, Waduud MA, Walker P, Stocken D, Bailey MA, Scott DJA. Meta-analysis of fenestrated endovascular aneurysm repair versus open surgical repair of juxtarenal abdominal aortic aneurysms over the last 10 years. BJS Open 2019; 3 (05) 572-584
    CrossrefPubMedSearch in Google Scholar
  • 3 Mastracci TM, Eagleton MJ, Kuramochi Y, Bathurst S, Wolski K. Twelve-year results of fenestrated endografts for juxtarenal and group IV thoracoabdominal aneurysms. J Vasc Surg 2015; 61 (02) 355-364
    PubMedSearch in Google Scholar
  • 4 Eagleton MJ, Follansbee M, Wolski K, Mastracci T, Kuramochi Y. Fenestrated and branched endovascular aneurysm repair outcomes for type II and III thoracoabdominal aortic aneurysms. J Vasc Surg 2016; 63 (04) 930-942
    CrossrefPubMedSearch in Google Scholar
  • 5 Kougias P, Branco BC, Braun J. et al. Ischemia-induced lower extremity neurologic impairment after fenestrated endovascular aneurysm repair. J Vasc Surg 2019; 70 (01) 23-30
    PubMedSearch in Google Scholar
  • 6 Meertens MM, Lemmens CC, Oderich GS, Schurink GWH, Mees BME. Cerebrovascular complications after upper extremity access for complex aortic interventions: a systematic review and meta-analysis. Cardiovasc Intervent Radiol 2020; 43 (02) 186-195
    PubMedSearch in Google Scholar
  • 7 Fiorucci B, Kölbel T, Rohlffs F, Heidemann F, Debus SE, Tsilimparis N. Right brachial access is safe for branched endovascular aneurysm repair in complex aortic disease. J Vasc Surg 2017; 66 (02) 360-366
    PubMedSearch in Google Scholar