RSS-Feed abonnieren
DOI: 10.1055/s-0035-1558707
The Current State of Fenestrated and Branched Devices for Abdominal Aortic Aneurysm Repair
Publikationsverlauf
Publikationsdatum:
18. August 2015 (online)
![](https://www.thieme-connect.de/media/sir/201503/lookinside/thumbnails/10-1055-s-0035-1558707_00906-1.jpg)
Abstract
Endovascular abdominal aortic aneurysm repair (EVAR) provides an attractive alternative to traditional open techniques. Endovascular repair is frequently limited by aortic aneurysm neck angulation, the absence of an adequate infrarenal neck, and the need for internal iliac preservation. Several devices have been created to incorporate visceral artery segments as well as preserve the internal iliac artery, thus broadening the patient population suited for endovascular repair. This article will provide a review of the current literature regarding fenestrated devices, branch devices, off-the-shelf devices, and physician-modified devices. It will also highlight the iliac branch stent grafts currently on trial for internal iliac artery preservation. Data thus far have suggested that these devices will be both a safe and effective option for anatomically challenging abdominal aortic aneurysms.
-
References
- 1 Greenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D, Sculpher MJ ; United Kingdom EVAR Trial Investigators. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med 2010; 362 (20) 1863-1871
- 2 De Bruin JL, Baas AF, Buth J , et al; DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med 2010; 362 (20) 1881-1889
- 3 Lederle FA, Freischlag JA, Kyriakides TC , et al; Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group. Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. JAMA 2009; 302 (14) 1535-1542
- 4 Oderich GS, Greenberg RK, Farber M , et al; Zenith Fenestrated Study Investigators. Results of the United States multicenter prospective study evaluating the Zenith fenestrated endovascular graft for treatment of juxtarenal abdominal aortic aneurysms. J Vasc Surg 2014; 60 (6) 1420-1428.e1 , 5
- 5 Bungay PM, Burfitt N, Sritharan K , et al. Initial experience with a new fenestrated stent graft. J Vasc Surg 2011; 54 (6) 1832-1838
- 6 Oderich GS, Correa MP, Mendes BC. Technical aspects of repair of juxtarenal abdominal aortic aneurysms using the Zenith fenestrated endovascular stent graft. J Vasc Surg 2014; 59 (5) 1456-1461
- 7 Carpenter JP, Baum RA, Barker CF , et al. Impact of exclusion criteria on patient selection for endovascular abdominal aortic aneurysm repair. J Vasc Surg 2001; 34 (6) 1050-1054
- 8 Greenberg RK, Sternbergh III WC, Makaroun M , et al; Fenestrated Investigators. Intermediate results of a United States multicenter trial of fenestrated endograft repair for juxtarenal abdominal aortic aneurysms. J Vasc Surg 2009; 50 (4) 730-737.e1
- 9 Semmens JB, Lawrence-Brown MM, Hartley DE, Allen YB, Green R, Nadkarni S. Outcomes of fenestrated endografts in the treatment of abdominal aortic aneurysm in Western Australia (1997-2004). J Endovasc Ther 2006; 13 (3) 320-329
- 10 O'Neill S, Greenberg RK, Haddad F, Resch T, Sereika J, Katz E. A prospective analysis of fenestrated endovascular grafting: intermediate-term outcomes. Eur J Vasc Endovasc Surg 2006; 32 (2) 115-123
- 11 Amiot S, Haulon S, Becquemin JP , et al; Association Universitaire de Recherche en Chirurgie Vasculaire. Fenestrated endovascular grafting: the French multicentre experience. Eur J Vasc Endovasc Surg 2010; 39 (5) 537-544
- 12 Verhoeven EL, Vourliotakis G, Bos WT , et al. Fenestrated stent grafting for short-necked and juxtarenal abdominal aortic aneurysm: an 8-year single-centre experience. Eur J Vasc Endovasc Surg 2010; 39 (5) 529-536
- 13 Kristmundsson T, Sonesson B, Dias N, Törnqvist P, Malina M, Resch T. Outcomes of fenestrated endovascular repair of juxtarenal aortic aneurysm. J Vasc Surg 2014; 59 (1) 115-120
- 14 British Society for Endovascular Therapy and the Global Collaborators on Advanced Stent-Graft Techniques for Aneurysm Repair (GLOBALSTAR) Registry. Early results of fenestrated endovascular repair of juxtarenal aortic aneurysms in the United Kingdom. Circulation 2012; 125 (22) 2707-2715
- 15 Scurr JR, Brennan JA, Gilling-Smith GL, Harris PL, Vallabhaneni SR, McWilliams RG. Fenestrated endovascular repair for juxtarenal aortic aneurysm. Br J Surg 2008; 95 (3) 326-332
- 16 Ziegler P, Perdikides TP, Avgerinos ED, Umscheid T, Stelter WJ. Fenestrated and branched grafts for para-anastomotic aortic aneurysm repair. J Endovasc Ther 2007; 14 (4) 513-519
- 17 Tambyraja AL, Fishwick NG, Bown MJ, Nasim A, McCarthy MJ, Sayers RD. Fenestrated aortic endografts for juxtarenal aortic aneurysm: medium term outcomes. Eur J Vasc Endovasc Surg 2011; 42 (1) 54-58
- 18 Linsen MA, Jongkind V, Nio D, Hoksbergen AW, Wisselink W. Pararenal aortic aneurysm repair using fenestrated endografts. J Vasc Surg 2012; 56 (1) 238-246
- 19 Sun Z, Mwipatayi BP, Semmens JB, Lawrence-Brown MM. Short to midterm outcomes of fenestrated endovascular grafts in the treatment of abdominal aortic aneurysms: a systematic review. J Endovasc Ther 2006; 13 (6) 747-753
- 20 Verhoeven EL, Prins TR, Tielliu IF , et al. Treatment of short-necked infrarenal aortic aneurysms with fenestrated stent-grafts: short-term results. Eur J Vasc Endovasc Surg 2004; 27 (5) 477-483
- 21 Greenberg RK, Haulon S, O'Neill S, Lyden S, Ouriel K. Primary endovascular repair of juxtarenal aneurysms with fenestrated endovascular grafting. Eur J Vasc Endovasc Surg 2004; 27 (5) 484-491
- 22 Greenberg RK, Haulon S, Lyden SP , et al. Endovascular management of juxtarenal aneurysms with fenestrated endovascular grafting. J Vasc Surg 2004; 39 (2) 279-287
- 23 Mohabbat W, Greenberg RK, Mastracci TM, Cury M, Morales JP, Hernandez AV. Revised duplex criteria and outcomes for renal stents and stent grafts following endovascular repair of juxtarenal and thoracoabdominal aneurysms. J Vasc Surg 2009; 49 (4) 827-837 , discussion 837
- 24 Shahverdyan R, Gray D, Gawenda M, Brunkwall J. Technical feasibility of endovascular aortoiliac aneurysm repair combining Anaconda fenestrated and Zenith iliac side-branched stent grafts. J Vasc Surg 2015; 61 (5) 1324-1328
- 25 Rolls AE, Jenkins M, Bicknell CD , et al. Experience with a novel custom-made fenestrated stent graft in the repair of juxtarenal and type IV thoracoabdominal aneurysms. J Vasc Surg 2014; 59 (3) 615-622
- 26 Dijkstra ML, Tielliu IF, Meerwaldt R , et al. Dutch experience with the fenestrated Anaconda endograft for short-neck infrarenal and juxtarenal abdominal aortic aneurysm repair. J Vasc Surg 2014; 60 (2) 301-307
- 27 Farber MA, Vallabhaneni R, Marston WA. “Off-the-shelf” devices for complex aortic aneurysm repair. J Vasc Surg 2014; 60 (3) 579-584
- 28 Quiñones-Baldrich WJ, Holden A, Mertens R , et al. Prospective, multicenter experience with the Ventana Fenestrated System for juxtarenal and pararenal aortic aneurysm endovascular repair. J Vasc Surg 2013; 58 (1) 1-9
- 29 Kitagawa A, Greenberg RK, Eagleton MJ, Mastracci TM. Zenith p-branch standard fenestrated endovascular graft for juxtarenal abdominal aortic aneurysms. J Vasc Surg 2013; 58 (2) 291-300
- 30 Mendes BC, Oderich GS, Macedo TA , et al. Anatomic feasibility of off-the-shelf fenestrated stent grafts to treat juxtarenal and pararenal abdominal aortic aneurysms. J Vasc Surg 2014; 60 (4) 839-847 , discussion 847–848
- 31 Starnes BW. Physician-modified endovascular grafts for the treatment of elective, symptomatic, or ruptured juxtarenal aortic aneurysms. J Vasc Surg 2012; 56 (3) 601-607
- 32 Starnes BW, Tatum B. Early report from an investigator-initiated investigational device exemption clinical trial on physician-modified endovascular grafts. J Vasc Surg 2013; 58 (2) 311-317
- 33 Ricotta II JJ, Tsilimparis N. Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients. J Vasc Surg 2012; 56 (6) 1535-1542
- 34 Greenberg RK, Qureshi M. Fenestrated and branched devices in the pipeline. J Vasc Surg 2010; 52 (4, Suppl): 15S-21S
- 35 Greenberg R, Eagleton M, Mastracci T. Branched endografts for thoracoabdominal aneurysms. J Thorac Cardiovasc Surg 2010; 140 (6, Suppl): S171-S178
- 36 Bisdas T, Donas KP, Bosiers M, Torsello G, Austermann M. Anatomical suitability of the T-branch stent-graft in patients with thoracoabdominal aortic aneurysms treated using custom-made multibranched endografts. J Endovasc Ther 2013; 20 (5) 672-677
- 37 Bosiers MJ, Bisdas T, Donas KP, Torsello G, Austermann M. Early experience with the first commercially available off-the-shelf multibranched endograft (t-branch) in the treatment of thoracoabdominal aortic aneurysms. J Endovasc Ther 2013; 20 (6) 719-725
- 38 Chuter TA. Commentary: from bespoke to off-the-shelf: the t-branch stent-graft for total endovascular TAAA repair. J Endovasc Ther 2013; 20 (6) 726-727
- 39 Wong S, Greenberg RK, Brown CR, Mastracci TM, Bena J, Eagleton MJ. Endovascular repair of aortoiliac aneurysmal disease with the helical iliac bifurcation device and the bifurcated-bifurcated iliac bifurcation device. J Vasc Surg 2013; 58 (4) 861-869
- 40 Ferrer C, De Crescenzo F, Coscarella C, Cao P. Early experience with the Excluder® iliac branch endoprosthesis. J Cardiovasc Surg (Torino) 2014; 55 (5) 679-683