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- Title
Incorporation of Celiomesenteric Trunk With Double Kissing Directional Branches During Fenestrated-Branched Endovascular Aortic Repair.
- Authors
Marcondes, Giulianna B.; Tenorio, Emanuel R.; Lima, Guilherme B.; Mendes, Bernardo; Saqib, Naveed; Khan, Sophia; Macedo, Thanila A.; Lee, Hansoo; Oderich, Gustavo S.
- Abstract
Purpose: Common celiomesenteric trunk (CMT) is a rare anatomical variation that occurs in 0.5% to 3.4% of the general population. Its presence may complicate planning and implantation of fenestrated and branched stent-grafts because the wide diameter and short length of the CMT to its bifurcation does not allow sufficient sealing for placement of bridging stents. Case Report: We report a patient with thoracoabdominal aortic aneurysm (TAAA) and CMT treated by fenestrated-branched endovascular aortic repair (FB-EVAR) using double kissing directional branches to incorporate the celiac axis and superior mesenteric artery. Pitfalls of stent design and implantation are outlined. Conclusion: Double kissing directional branches should be considered as an alternative to incorporate vessels with early bifurcation such as a CMT.
- Publication
Journal of Endovascular Therapy, 2021, Vol 28, Issue 4, p636
- ISSN
1526-6028
- Publication type
Article
- DOI
10.1177/15266028211016430