Endovascular repair of complex aortic aneurysms

Daniel Silverberg*, Violeta Glauber, Uri Rimon, Dmitry Yakubovitch, Emanuel R. Reinitz, Basheer Sheick-Yousif, Boris Khaitovich, Jacob Schneiderman, Moshe Halak

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Background: Surgery for complex aortic aneurysms (thoraco-abdominal, juxtarenal and pseudoaneurysms) is associated with a high morbidity and mortality rate. Branched and fene-strated stent grafts constitute a new technology intended as an alternative treatment for this disease. Objectives: To describe a single-center experience with fenestrated and branched endografts for the treatment of complex aortic aneurysms. methods: We reviewed all cases of complex aortic aneurysms treated with branched or fenestrated devices in our center. Data collected included device specifcs, perioperative morbidity and mortality, re-intervention rates and mid-term results. results: Between 2007 and 2012 nine patients were treated with branched and fenestrated stent grafts. Mean age was 73 years. Mean aneurysm size was 63 mm. Perioperative mortality was 22% (2/9). During the follow-up, re-interventions were required in 3 patients (33%). Of 34 visceral artery branches 33 remained patent, resulting in a patency rate of 97%. Sac expansion was seen in a single patient due to a large endoleak. No late aneurysm-related deaths occurred. conclusions: Branched and fenestrated stent grafts are feasible and relatively safe alternatives for the treatment of complex aortic aneurysms involving the visceral segment. Further research is needed to determine the long-term durability of this new technology.

Original languageEnglish
Pages (from-to)5-10
Number of pages6
JournalIsrael Medical Association Journal
Issue number1
StatePublished - Jan 2014


  • Branched stent graft
  • Complex aortic aneurysm
  • Fenestrated stent graft


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