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Renovisceral Coverage in Fenestrated Aortic Repair: The Only Way is Up?

  • Nuno V. Dias
    Correspondence
    Corresponding author. Vascular Centre, Department of Thoracic Surgery and Vascular Diseases, Skåne University Hospital, Ruth Lundskogs gata 10/1, 205 02 Malmö, Sweden.
    Affiliations
    Vascular Centre, Department of Thoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden

    Department of Clinical Sciences Malmö, Lund University, Sweden
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  • Björn Sonesson
    Affiliations
    Vascular Centre, Department of Thoracic and Vascular Surgery, Skåne University Hospital, Malmö, Sweden

    Department of Clinical Sciences Malmö, Lund University, Sweden
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Published:March 02, 2022DOI:https://doi.org/10.1016/j.ejvs.2022.01.028
      Witheford et al. should be congratulated for their efforts to study the consequences of different strategies to incorporate the coeliac artery (CA) in fenestrated aortic repair (FEVAR).
      • Witheford M.
      • Au D.
      • Mastracci T.M.
      Coeliac incorporation strategy impacts visceral branch vessel stability in fenestrated endovascular aneurysm repair.
      They confirmed the safety of more proximal repairs using a CA fenestration instead of a scallop. More interestingly, they showed a reduction in target vessel instability at the superior mesenteric and renal arteries following the proximal extension of the repair. This reinforces the concept popularised in the last decade of incorporating all renovisceral arteries with fenestrations. However, before deciding that the only way is up when planning a FEVAR, some aspects still need to be considered.
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      References

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        Coeliac incorporation strategy impacts visceral branch vessel stability in fenestrated endovascular aneurysm repair.
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