Redo Fenestrated-Branched Endovascular Aortic Repair (F-BEVAR) for Failed F-BEVAR

Anna L Driessen; Carla K Scott; Gerardo G Guardiola; Mirza S Baig; Melissa L Kirkwood; Carlos H Timaran

doi:10.1177/15266028221098707

Redo Fenestrated-Branched Endovascular Aortic Repair (F-BEVAR) for Failed F-BEVAR

J Endovasc Ther. 2023 Dec;30(6):964-970. doi: 10.1177/15266028221098707. Epub 2022 Jun 6.

Authors

Anna L Driessen¹, Carla K Scott¹, Gerardo G Guardiola¹, Mirza S Baig¹, Melissa L Kirkwood¹, Carlos H Timaran¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

PMID: 35658606
DOI: 10.1177/15266028221098707

Abstract

Failed fenestrated-branched endovascular aortic repair (F-BEVAR) requiring a redo F-BEVAR is a rare event. In this study, we report 2 cases of a failed F-BEVAR secondary to a type IIIb endoleak from tears on the fabric graft successfully treated with redo F-BEVAR. This is a technically challenging procedure that requires meticulous planning, advanced imaging technologies and experienced operators. Redo F-BEVAR appears to be a feasible and safe treatment option. However, larger series and long-term follow-up are needed to confirm effectiveness and durability.

Keywords: BEVAR; FEVAR; failed F-BEVAR; thoracoabdominal aneurysm.

MeSH terms

Aortic Aneurysm, Abdominal* / complications
Aortic Aneurysm, Abdominal* / diagnostic imaging
Aortic Aneurysm, Abdominal* / surgery
Aortic Aneurysm, Thoracic* / surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / adverse effects
Endovascular Aneurysm Repair
Endovascular Procedures* / adverse effects
Endovascular Procedures* / methods
Humans
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome