An off the shelf and low profile stentgraft for treatment of thoracoabdominal aneurysms

I recently developed an off the shelf stentgraft for treatment of thoracoabdominal aortic aneurysms involving the visceral branches. With this off the shelf device, aneurysms can be treated with any anatomical configuration of the visceral vessels, such as only 1, 2, 3 or 4 branches. I began to have the idea of developing this device from a technique of internal branches that I developed for treatments of thoracoabdominal aneurysms. We performed almost 40 patients with this technique.


    Thank you, Marco, for this impressive presentation. I have a couple of questions. Do you prepare the device separately from the operation or on the same day? What kind of device do you prefer? Do you also prepare fenestrated devices or only branched? Again, thank you very much for this great presentation!

    Marco Lourenco
    June 4, 2018

    Dear Özgün,
    Thank you very much for your questions!
    I prepare the device at the same time, just before the surgery.
    I prefer the valiant thoracic device and the viabahn for the internal branches, than I’ve been use the viabahn or the begraft for the connection to the visceral branches.
    I did in the past some cases of fenestrated devices since 2004. After 2013, my first case with this technique, my preference is branched device even for juxtarenal aneurysm.
    Best regards
    Thanks again

    Very impressive work Marco! The planning must be very interesting. I hope you will share more of your work. That’s what Vascupedia is about. We have to learn more about established alternative techniques in the treatment of difficult aortic anatomies. Thank you.

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