Medicina (Buenos Aires)
versión On-line ISSN 1669-9106
ROSTAGNO, Román et al. Abdominal aortic aneurysm: Endovascular treatment with fenestrated endoprothesis. Medicina (B. Aires) [online]. 2008, vol.68, n.6, pp. 442-446. ISSN 1669-9106.
Endovascular treatment of the abdominal aortic aneurysm is consider an alternative to open surgery for high risk patients. Its goal is to exclude the aneurysm from the circulation by using an endoprothesis introduced from a femoral approach. Patients must be strictly selected to avoid possible complications. The most frequent limitation is related to anatomic contraindications such as visceral arteries involved in the aneurysm. Fenestrated endograft have been recently developed to allow endovascular treatment when anatomic features contraindicate classic endovascular procedures. Fenestrated endograft have holes that match with the origin of the visceral arteries maintaining its potency. In this paper we report the endovascular treatment of an abdominal aortic aneurysm by using a fenestrated endoprothesis in a patient whose left renal artery is originated from the aneurysm.
Palabras clave : AAA; Aortic aneurysm; Endovascular graft; EVAR; Juxtarenal aneurysm; Fenestrated endograft.