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Degeneration of the thoracoabdominal aorta proximal to a prior fenestrated endovascular aortic repair represents a complex issue with limited options for repair. Previously, modified endografts or open conversion with endograft explant offered the only options for management. Here we describe use of the Gore Thoracoabdominal Multibranch Endoprosthesis for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.
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http://dx.doi.org/10.1016/j.jvscit.2024.101664 | DOI Listing |
Semin Vasc Surg
September 2025
Division of Vascular Surgery, University of Washington, 1959 NE Pacific Street, Box 358811, Seattle, WA 98195. Electronic address:
Aortic dissection carries significant morbidity and mortality, particularly with involvement of the ascending aorta. The estimated prevalence of aortic dissection in the general population is between 2.0 and 3.
View Article and Find Full Text PDFJ Vasc Surg
September 2025
Division of Vascular Surgery, Washington University School of Medicine, St Louis, MO.
Eur J Vasc Endovasc Surg
August 2025
Division of Vascular Surgery, University of Washington, Seattle, WA, USA. Electronic address:
Objective: This study assessed outcomes following fenestrated and branched endovascular aortic repair (F/BEVAR) for thoraco-abdominal aortic aneurysms (TAAAs) and complex abdominal aortic aneurysms (cAAAs) based on aneurysm size (small, medium, and large).
Methods: Patients who underwent elective F/BEVAR for the treatment of TAAAs and cAAAs (only juxtarenal aneurysms) from 2013 - 2022 in the Vascular Quality Initiative database were included. Aneurysm size was categorised as small (< 5.
J Vasc Surg Cases Innov Tech
October 2025
Division of Vascular Surgery, University of Rochester Medical Center, Rochester, NY.
The GORE EXCLUDER thoracoabdominal branch endoprosthesis is the only commercially available, off-the-shelf stent graft for endovascular repair of thoracoabdominal aortic aneurysms in the United States. The design features preloaded guidewires, eliminating the need to separately catheterize each branch portal. However, wire wrapping of the target vessel cannulation wires can cause technical difficulties during catheterization and presents challenges to bridge stent delivery and deployment, leading to bridge stent wrapping.
View Article and Find Full Text PDFJTCVS Tech
August 2025
Advanced Endovascular Aortic Research Program, Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
Objective: Open surgical repair is the first-line treatment for patients with complex aortic aneurysms and heritable thoracic aortic diseases (HTADs). Fenestrated-branched endovascular aortic repair (FB-EVAR) has been used selectively in higher-risk patients. This study assessed early- and midterm outcomes of FB-EVAR for complex aortic aneurysms in patients with HTADs.
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