Journal
JOURNAL OF ENDOVASCULAR THERAPY
Volume 29, Issue 2, Pages 175-180Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/15266028211045704
Keywords
abdominal aortic aneurysm; branched stent-graft; custom-made device; endovascular aneurysm repair; fenestrated stent-graft; embolization; therapeutic
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The management of unused fenestrations and branches in F/B EVAR techniques is crucial to prevent ongoing endoleaks. Several endovascular techniques are available to occlude these openings in a timely manner, ensuring successful treatment of aneurysmal aortic pathology.
Fenestrated and branched aortic endograft (F/B EVAR) has become a widely accepted technique in the management of aneurysmal aortic pathology. However, intra-procedurally in some situations, there are F/B that remain unused because of target vessel occlusion or failure to cannulate the target artery. Leaving the F/B open will result in an ongoing endoleak, unless treated at the time. Herein we described the necessary considerations and several endovascular techniques to occlude these fenestrations and branches in this situation.
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