VH08 - Midterm Results of Physician Modified Endograft in Juxta-renal AAA using Three-Dimensional Model Assisted Planning and Intraoperative Three-Dimensional Image Analysis

Thursday, June 20, 2024

2:40 PM - 2:49 PM CT

Location: West Building, Level 1, W183b

Submitting & Presenting Author(s)

Hiroshi Mitsuoka, MD, PhD (he/him/his)

Consulting Vascular and Endovascular Surgeon
Shizuoka City Shizuoka Hospital
Shizuoka City, Shizuoka, Japan

Co-Author(s)

YT

Yasuhiko Terai

Shizuoka City Shizuoka Hospital, Shizuoka
Takahiro Suzuki, MD

Shizuoka, Shizuoka

Summary: In this video presentation, we showcase our current approach to physician-modified endografting and provide insights into mid-term clinical outcomes. The data presented are derived from a consecutive series of 50 cases involving juxta-renal abdominal aortic aneurysms, where fenestration design was determined through three-dimensional model-assisted planning, and the deployment of the fenestrated device is assisted by intra-operative three-dimensional image analysis using cone beam CT. The method demonstrated satisfactory results in fenestration-branch alignment accuracy (100%). Kaplan-Meier analysis revealed mid-term outcomes (at 4 postoperative years) with a cumulative occurrence of >5 mm shrinkage (73%, 95% C.I.: 58.6-86.2%), freedom from >5 mm sac enlargement (97.2%, 95% CI: 56.7-81.9%), and assisted patency of renal bridging stents (100%).