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Re: Better safe than sorry? Reflections on concerns about laser fenestrations in creating physician modified stent grafts

  • Jean Sénémaud
    Correspondence
    Corresponding author. Service de Chirurgie Vasculaire et Endocrinienne, Centre Hospitalier Universitaire Henri Mondor, 51 avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.
    Affiliations
    Centre Hospitalier Universitaire Henri Mondor, Department of Vascular Surgery, Créteil, France
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  • Pascal Desgranges
    Affiliations
    Centre Hospitalier Universitaire Henri Mondor, Department of Vascular Surgery, Créteil, France
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      We thank Professor Lejay and Professor Chakfé for their relevant commentary on our article.
      • Senemaud J.
      • Fadel G.
      • Touma J.
      • Tacher V.
      • Majewski M.
      • Cochennec F.
      • et al.
      Initial Results of Antegrade Laser Fenestrations Using Image Fusion Guidance and Company Manufactured Stent Grafts in Complex Aortic Aneurysm Repair.
      They argue that patients with asymptomatic aneurysms < 65 mm should wait for individualised manufacture of a company manufactured device (CMD), since the risk of rupture is considered to be low during fabrication delays, instead of being treated with a physician modified stent graft (PMSG) using antegrade laser fenestrations (LEVAR).
      • Lejay A.
      • Chakfe N.
      When Aneurysms Need Waiting, and Not Worrying... Commentary on “Initial Results of Antegrade Laser Fenestrations Using Image Fusion Guidance and Company Manufactured Stent Grafts in Complex Aortic Aneurysm Repair”.
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      References

        • Senemaud J.
        • Fadel G.
        • Touma J.
        • Tacher V.
        • Majewski M.
        • Cochennec F.
        • et al.
        Initial Results of Antegrade Laser Fenestrations Using Image Fusion Guidance and Company Manufactured Stent Grafts in Complex Aortic Aneurysm Repair.
        Eur J Vasc Endovasc Surg. 2021; 62: 204-213
        • Lejay A.
        • Chakfe N.
        When Aneurysms Need Waiting, and Not Worrying... Commentary on “Initial Results of Antegrade Laser Fenestrations Using Image Fusion Guidance and Company Manufactured Stent Grafts in Complex Aortic Aneurysm Repair”.
        Eur J Vasc Endovasc Surg. 2022; 63: 778-779
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        Eur J Vasc Endovasc Surg. 2019; 57: 8-93
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        Midterm results from a physician-sponsored investigational device exemption clinical trial evaluating physician-modified endovascular grafts for the treatment of juxtarenal aortic aneurysms.
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