A physician-modified endograft for intercostal arteries preservation and its role as an endovascular strategy in chronic aortic dissection
1
Issued Date
2026-08-01
Resource Type
eISSN
24684287
Scopus ID
2-s2.0-105039652661
Journal Title
Journal of Vascular Surgery Cases Innovations and Techniques
Volume
12
Issue
4
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Vascular Surgery Cases Innovations and Techniques Vol.12 No.4 (2026)
Suggested Citation
Bety M.A., Hongku K., Elkouri S., Drudi L.M., Blair J.F., Charbonneau P. A physician-modified endograft for intercostal arteries preservation and its role as an endovascular strategy in chronic aortic dissection. Journal of Vascular Surgery Cases Innovations and Techniques Vol.12 No.4 (2026). doi:10.1016/j.jvscit.2026.102281 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/116983
Title
A physician-modified endograft for intercostal arteries preservation and its role as an endovascular strategy in chronic aortic dissection
Corresponding Author(s)
Other Contributor(s)
Abstract
Treatment of thoracoabdominal aortic aneurysm post aortic dissection is challenging and carries a significant risk of spinal cord ischemia. Open surgery allows reimplantation of intercostal arteries (ICAs), whereas conventional endovascular treatment cannot. We report a 46-year-old patient treated with a physician-modified endograft with posterior fenestrations to preserve perfusion of ICAs. The device was deployed in the true lumen to maintain sealing, with a large fenestration aligned to the target ICAs. Two custom-made false lumen endoprostheses were also placed in the false lumen. The postoperative course was uneventful, and 1-year imaging showed complete false lumen exclusion and positive aortic remodeling.