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Retrograde Fenestration of Inadvertently Deployed Stent Graft over Aortic Bifurcation

By

Ahmed Khairy Allam, MD.

Vascular Surgery Unit, Benha University, Egypt.

1/30/2020 1

Disclosure

Speaker name: Ahmed Khairy Allam

Departments of General Surgery, Vascular Surgery Unit, Benha University

I have the following potential conflicts of interest to report:

Consulting

Employment in industry

Stockholder of a healthcare company

Owner of a healthcare company

Other(s)

I do not have any potential conflict of interest

Background

▪ Male patient 63 years old known to be type II insulin dependent diabetes mellitus

▪ Chronic heavy smoker (SI= 880)

▪ IHD with history of CABG (2 vessel) since 2013 followed by coronary stenting 3 years later

▪ EF=44%

▪ Underwent bilateral CIA stenting since 2018

Clinical presentation

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Investigation

Decision

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Discussion & Conclusion

▪ in situ fenestration (ISF) of standard endografts

represents another off-label endovascular means

to maintain perfusion to aortic side branches

located in the excluded area

▪ First described in 2004 by McWilliams et al., Its principle is based on intentionally made fenestration of an endograft following its deployment inside the vascular system

▪ It is currently an off-label procedure that should not be used outside emergent bailout techniques

Retrograde Fenestration of Inadvertently Deployed Stent Graft over Aortic Bifurcation

By

Ahmed Khairy Allam, MD.

Vascular Surgery Unit, Benha University, Egypt.

1/30/2020 19