Key result
The Gore Thoracoabdominal Multibranch Endoprosthesis was used for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.
Why the study?
Thoracoabdominal aortic degeneration proximal to a prior fenestrated EVAR is complex with limited repair options, historically requiring modified endografts or open conversion.
Case Report
The Gore Thoracoabdominal Multibranch Endoprosthesis may offer a viable endovascular option for treating complex proximal degeneration after prior fenestrated endovascular aortic repair.
May be feasible in redo thoracoabdominal repair after fenestrated EVAR; leaves open durability and generalizability.
Degeneration of the thoracoabdominal aorta proximal to a prior fenestrated endovascular aortic repair represents a complex issue with limited options for repair. Previously, modified endografts or open conversion with endograft explant offered the only options for management. Here we describe use of the Gore Thoracoabdominal Multibranch Endoprosthesis for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.
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Cralle et al. (2024) conducted a case report in Extent III thoracoabdominal aneurysm with proximal degeneration after prior fenestrated endovascular aortic repair. Gore Thoracoabdominal Multibranch Endoprosthesis was evaluated. The Gore Thoracoabdominal Multibranch Endoprosthesis was used for exclusion of an extent III thoracoabdominal aneurysm in the setting of degeneration proximal to a previously placed fenestrated device.
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