Treatment of urgent thoracoabdominal aortic pathologies with physician-modified abdominal aortic extension

Abstract

Urgent thoracoabdominal aortic (TAA) pathologies pose a major clinical challenge, where physician-modified endografts offer a rapid, off-the-shelf and patient-customized solution. We illustrate the treatment of different urgent thoracoabdominal aortic pathologies with physician-modified abdominal aortic extensions. Due to its short endograft length, modification and re-sheathing can be performed fast and deployment with a high precision. Furthermore, keeping the tip capture closed, target vessel cannulation is enhanced from a femoral access. These features possibly lead to improved clinical outcomes.