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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
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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
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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
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Clinical presentation
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Investigation
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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
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▪ 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
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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 19