Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts
Endovascular techniques have become the preferred method for treating complex aortic aneurysms, but some cases require individualized strategies beyond manufacturer specifications. We report a 62-year-old male with a 64 mm juxtarenal abdominal aortic aneurysm, right above-knee amputation, and depend...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687824000928 |
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| author | Bernhard Hruschka Alexander Gombert Panagiotis Doukas Christian Uhl Moustafa Elfeky |
| author_facet | Bernhard Hruschka Alexander Gombert Panagiotis Doukas Christian Uhl Moustafa Elfeky |
| author_sort | Bernhard Hruschka |
| collection | DOAJ |
| description | Endovascular techniques have become the preferred method for treating complex aortic aneurysms, but some cases require individualized strategies beyond manufacturer specifications. We report a 62-year-old male with a 64 mm juxtarenal abdominal aortic aneurysm, right above-knee amputation, and dependence on the right hypogastric artery. The patient's complex anatomy necessitated a custom solution including fEVAR. Access was gained through the left femoral and brachial arteries due to an occluded right external iliac artery. The right hypogastric artery was treated with covered stents via transbrachial access. This case highlights the potential for treating complex aortic aneurysms using patient-individualized endoprostheses and creative endovascular solutions outside standard instructions-for-use. |
| format | Article |
| id | doaj-art-692177f1e23348e2a3bd21f4dde1d8bf |
| institution | DOAJ |
| issn | 2772-6878 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Vascular Surgery - Brief Reports and Innovations |
| spelling | doaj-art-692177f1e23348e2a3bd21f4dde1d8bf2025-08-20T02:50:19ZengElsevierAnnals of Vascular Surgery - Brief Reports and Innovations2772-68782024-12-014410034010.1016/j.avsurg.2024.100340Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endograftsBernhard Hruschka0Alexander Gombert1Panagiotis Doukas2Christian Uhl3Moustafa Elfeky4Corresponding author.; Department of Vascular Surgery, European Vascular Center Aachen Maastricht, RWTH, University Hospital Aachen, Pauwelsstrasse 30, Aachen 52074, GermanyDepartment of Vascular Surgery, European Vascular Center Aachen Maastricht, RWTH, University Hospital Aachen, Pauwelsstrasse 30, Aachen 52074, GermanyDepartment of Vascular Surgery, European Vascular Center Aachen Maastricht, RWTH, University Hospital Aachen, Pauwelsstrasse 30, Aachen 52074, GermanyDepartment of Vascular Surgery, European Vascular Center Aachen Maastricht, RWTH, University Hospital Aachen, Pauwelsstrasse 30, Aachen 52074, GermanyDepartment of Vascular Surgery, European Vascular Center Aachen Maastricht, RWTH, University Hospital Aachen, Pauwelsstrasse 30, Aachen 52074, GermanyEndovascular techniques have become the preferred method for treating complex aortic aneurysms, but some cases require individualized strategies beyond manufacturer specifications. We report a 62-year-old male with a 64 mm juxtarenal abdominal aortic aneurysm, right above-knee amputation, and dependence on the right hypogastric artery. The patient's complex anatomy necessitated a custom solution including fEVAR. Access was gained through the left femoral and brachial arteries due to an occluded right external iliac artery. The right hypogastric artery was treated with covered stents via transbrachial access. This case highlights the potential for treating complex aortic aneurysms using patient-individualized endoprostheses and creative endovascular solutions outside standard instructions-for-use.http://www.sciencedirect.com/science/article/pii/S2772687824000928Case reportComplex AAAAbdominal aortic aneurysmJuxta-renal aortic aneurysmShort custom-made devicefEVAR |
| spellingShingle | Bernhard Hruschka Alexander Gombert Panagiotis Doukas Christian Uhl Moustafa Elfeky Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts Annals of Vascular Surgery - Brief Reports and Innovations Case report Complex AAA Abdominal aortic aneurysm Juxta-renal aortic aneurysm Short custom-made device fEVAR |
| title | Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts |
| title_full | Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts |
| title_fullStr | Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts |
| title_full_unstemmed | Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts |
| title_short | Patient-individualized treatment concept in a case of a juxtarenal AAA repair with limited transfemoral access using custom-made fenestrated aortic endografts |
| title_sort | patient individualized treatment concept in a case of a juxtarenal aaa repair with limited transfemoral access using custom made fenestrated aortic endografts |
| topic | Case report Complex AAA Abdominal aortic aneurysm Juxta-renal aortic aneurysm Short custom-made device fEVAR |
| url | http://www.sciencedirect.com/science/article/pii/S2772687824000928 |
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