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CASE REPORT
Year : 2022  |  Volume : 5  |  Issue : 2  |  Page : 51-53

Application of a custom-manufactured directional multibranched stent graft to treat thoracoabdominal aneurysms: A case report


1 Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha, China
2 Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha; Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China

Correspondence Address:
Dr. Chang Shu
Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha; Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2589-9686.348225

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OBJECTIVE: The objective of this study was performed to demonstrate the feasibility and effectiveness of a custom-manufactured stent graft (CMSG) with directional multibranches for the treatment of a complex thoracoabdominal aortic aneurysm (TAAA) patient. METHODS: A 73-year-old man presented with Crawford Type V TAAA was treated with a CMSG with four down-going directional branches including two proximal directional branches for the celiac artery and superior mesenteric artery and two distal side directional branches for the bilateral renal arteries. RESULTS: Postoperative course was unremarkable and 6-month follow-up demonstrated sac regression, absence of endoleaks, and all of the visceral branches remained patent. CONCLUSIONS: Total endovascular repair using CMSG with directional multibranches is a suitable alternative in higher risk patients with TAAA who are not suited for open surgery. Longer follow-up is needed to confirm the preliminary results.


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