Use of Zenith TX2 endografts in endovascular abdominal aortic aneurysm repair for large-diameter aortic necks

Jeffrey Jim, Andres Fajardo, Patrick J. Geraghtyz, Luis A. Sanchez

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

The purpose of this case report is to describe the use of thoracic endografts in endovascular repair of abdominal aortic aneurysms (AAAs) with large-diameter aortic necks. We present four patients who underwent elective repair of AAAs. Preoperative imaging demonstrated all to have large aortic necks (35-37 mm) precluding treatment with standard abdominal aortic devices. All underwent endovascular treatment, which included the use of a Zenith TX2 endograft (Cook Medical Incorporated, Bloomington, IN, USA) as a proximal aortic cuff. There was 100% technical success. One patient developed gastrointestinal bleeding and a myocardial infarction. All were subsequently discharged home. On follow-up, there was one aneurysm-related death at three months. The remaining three patients are alive at a mean of 25.7 months after their operation. In conclusion, large proximal aortic necks preclude endovascular treatment with standard abdominal endograft components. The use of a thoracic endograft as a proximal aortic cuff is a feasible technique for patients unable to tolerate open aortic reconstruction.

Original languageEnglish
Pages (from-to)113-117
Number of pages5
JournalVascular
Volume20
Issue number2
DOIs
StatePublished - Apr 2012

Keywords

  • Adjunct aortic cuff
  • Endovascular aneurysm repair
  • Neck diameter
  • Proximal neck
  • Thoracic endograft

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