2023-2024 Cardiovascular Institute Annual Report CVI | Page 15

ENDOVASCULAR AORTIC ARCH REPAIR USING AN ENDOSPAN NEXUS™ DEVICE
CUSTOM BRANCHED AND FENESTRATED ENDOVASCULAR THORACOABDOMINAL ANEURYSM REPAIR
AORTIC DISEASE
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1B
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Figure 1A . 3D computed tomography scan demonstrating a large aortic arch aneurysm not amenable to conventional thoracic endovascular aortic repair , in a patient at very high risk for open aortic arch repair .
Figure 1B . Post-operative CT demonstrating successful aneurysm repair with a branched aortic arch graft ( brachiocephalic branch highlighted by white arrow ).
Figure 2A . Preoperative imaging demonstrates a large Crawford Extent 3 thoracoabdominal aneurysm .
Figure 2B . Successful endovascular thoracoabdominal repair using a custom , patient-specific , 5-vessel branched and fenestrated endovascular endograft .
Figure 3 : 3D VISUALIZATION OF EVAR GATE CANNULATION
Figure 4 : 3D VISUALIZATION OF GRAFT BRANCH AND CELIAC ARTERY CATHETERIZATION
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