VH03 - EVAR with SMA Chimney and Renal Artery In-Situ Laser Fenestration

Thursday, June 16, 2022

1:50 PM – 2:00 PM EDT

Submitting & Presenting Author(s)

William P. Roush, MD

Resident Physician
University of Missouri
Columbia, Missouri

Video

Co-Author(s)

KR

Kaitlyn Rountree
NB

Naveen Balasundaram
TV

Todd R. Vogel

Chief, Division of Vascular and Endovascular Surgery
University of Missouri
Columbia, Missouri

Senior Author(s)

Jonathan Bath, MD

Assistant Professor
University of Missouri Columbia
Columbia, Missouri

Summary: Urgent and emergency situations require creative off-the-shelf solutions for complex aortic aneurysm repair. In-situ laser fenestrated repair (ISLF) has been described to fill this need; however, there is a period of ischemia to the visceral vessels during endograft placement, laser fenestration and bridging stent placement. This video shows a simplified approach that obviates the need for target vessel pre-stenting in order to demonstrate the origins for laser fenestration while facilitating renoprotection with cold perfusion solution through the visceral sheaths during endograft coverage.