Endovascular Repair of Thoracoabdominal Aortic Aneurysms

3D-VR reconstruction of the post-procedure CT scan of a device with four reinforced fenestrations. This design was used to treat a type III thoracoabdominal aneurysm developed after previous type IV TAAA open tubular repair. The aortic lumen was narrow at the level of the visceral arteries allowing the use of four reinforced fenestrations mated with Advanta stent grafts (Atrium Medical Corporation, Hudson, NH, USA).

Six-month follow-up CT scan of a four-branched device used to treat a type III TAAA which developed 12years after aorto-bi-iliac open repair of an infra-renal AAA. In this case the large aortic lumen (10cm) allowed the use of four caudally oriented branches mated with Fluency grafts (CR Bard, Murray Hill, NJ, USA) to perfuse the visceral vessels.

Anterior view of a 3D reconstruction of a type I thoracoabdominal aneurysm treated with an endovascular graft with two branches and two reinforced fenestrations. The celiac and superior mesenteric branches are perfused by helical oriented branches. They are mated with the visceral vessels with a Fluency graft (CR Bard, Murray Hill, NJ, USA). The renal arteries were incorporated into the repair with reinforced fenestrations mated with Advanta stent grafts (Atrium Medical Corporation, Hudson, NH, USA).