Endovascular rescue of failed physician-modified multibranched endografts with fabric tear, using Gore thoracoabdominal multibranched endoprosthesis

Michelle Manesh, MD; Zachary Rengel, MD; Alyssa Pyun, MD; Elizabeth Miranda, MD; Sukgu M. Han, MD, MS

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2024)

Endovascular rescue of failed physician-modified multibranched endografts with fabric tear, using Gore thoracoabdominal multibranched endoprosthesis

Michelle Manesh, MD,
Zachary Rengel, MD,
Alyssa Pyun, MD,
Elizabeth Miranda, MD,
Sukgu M. Han, MD, MS

Affiliations

Michelle Manesh, MD: Keck Medical Center of University of Southern California, Los Angeles, CA
Zachary Rengel, MD: Keck Medical Center of University of Southern California, Los Angeles, CA
Alyssa Pyun, MD: Keck Medical Center of University of Southern California, Los Angeles, CA
Elizabeth Miranda, MD: Keck Medical Center of University of Southern California, Los Angeles, CA
Sukgu M. Han, MD, MS: Correspondence: Sukgu M. Han, MD, MS, Professor of Surgery and Neurological Surgery, Chief, Division of Vascular Surgery and Endovascular Therapy, Program Director, Vascular Surgery Fellowship and Residency, Co-director, Aortic Center, Keck Medical Center of University of Southern California, 1520 San Pablo St, Ste 4300, Los Angeles, CA 90033; Keck Medical Center of University of Southern California, Los Angeles, CA

Journal volume & issue: Vol. 10, no. 6
p. 101603

Abstract

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The thoracoabdominal multibranch endoprosthesis is a commercially available off-the-shelf four-vessel inner branched endograft for complex abdominal and thoracoabdominal aortic aneurysms. Type IIIb endoleak owing to fabric tear of fenestrated branched endovascular repair (FBEVAR) can be challenging, often requiring relining FBEVAR. Here, we present a case where thoracoabdominal multibranch endoprosthesis was used to reline the previous physician modified FBEVAR in a patient with a 10-cm extent IV thoracoabdominal aortic aneurysm distal to the previous open extent I thoracoabdominal aortic aneurysm repair.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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