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Now available in Baton Rouge, the Zenith Fenestrated Graft offers an effective, minimally invasive treatment for abdominal aortic aneurysms. The Zenith® p-Branch® and Zenith® Fenestrated AAA Endovascular Graft Single -Center Study is a clinical trial approved by US FDA to study the safety and. The Zenith fenestrated endovascular (ZFEN) stent graft is a modular system that consists of a proximal body.

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The study involved 12 patients, 7 symptomatic and 5 ruptured, of which 4 aneurysms were pararenal and 8 were thoracoabdominal—there were a total of 35 branch interventions. SUMMARY Like all new devices, the long-term success of this exciting new technology will be predicated on careful patient selection, adequate physician training, expert sizing and assessment of anatomy, and delivering excellent patient outcomes.

There was one case of graft migration, one case of renal artery stent fracture, and one case of fixation barb separation in which zenit the migrated graft required a secondary intervention. We met with our key nursing personnel to discuss the additional time and extra equipment that feneztrated to be expected during the learning phase with the Zenith Fenestrated graft. It has been well documented that endovascular repair of abdominal aortic aneurysms EVAR offers many fenestrates over open abdominal aortic aneurysm AAA repair.

Outcomes of fenestrated endografts in the treatment of abdominal aortic aneurysm in Western Australia J Endovasc Ther. The proximal end of the main body consists of two separate nitinol ring stents and four pairs of nitinol hooks that aid in sealing. Although all hospital policies are different, understanding this process might be new to many surgeons. Interested in Ordering this Product?

Fusce porttitor justo cursus est mattis lobortis. Ut maximus interdum diam et ultrices. Our center had been a clinical trial site for the Zenith Fenestrated graft, but relatively strict anatomic inclusion criteria led to several patient exclusions, and we did not implant a device in the trial.


The second patient with a fenestration stent fracture also did not have endoleak, a clinical renal event, or the need for secondary intervention. The only current FDA-approved fenestrated stent graft in the United States is the Zenith fenestrated device, for which multicenter prospective trials have validated the efficacy, safety, and durability of the graft. There is a large scallop that permits flow to the celiac and superior mesenteric arteries SMAsas well as fenestrations with precannulated sheaths that aid in renal artery stenting see Fig.

Choose your Region Are you sure you want to proceed? Three patients underwent this hybrid procedure without any intraoperative or postoperative endoleaks, stent migration, dislocation, or stenosis.

Zenith® Fenestrated AAA Endovascular Graft Proximal Body Grafts | Cook Medical

Personal calls to local surgeons and primary care physicians informing them of our new access to the Zenith Fenestrated device immediately generated several referrals, and the word spread relatively quickly. The Zenith fenestrated endovascular ZFEN stent graft is a modular system that consists of a proximal body graft, a distal bifurcated graft, and one iliac limb.

Several additional steps and attention to detail so that sheaths do not slip, wires stay in place, and devices deploy accurately are key changes compared to more routine EVAR. Vivamus felis nisl, semper nec pretium sed, dapibus dictum ex.

A prospective analysis of fenestrated endovascular grafting: Making sure your hospital staff understands this process will make the ordering and delivery frnestrated devices more streamlined. Our Editorial Advisory Board is composed of the top endovascular specialists, including interventional cardiologists, interventional radiologists, vascular surgeons, neurologists, and vascular medicine practitioners, and our publication is read by an audience of more than 22, members of the endovascular community.

Lorem ipsum dolor sit amet, consectetur adipiscing elit. I identified nine patients with aneurysms who had not yet zenoth offered an endovascular solution to treat their AAAs at our institution due to various neck morphologic criteria.


Impact of exclusion criteria on patient selection for endovascular abdominal aortic aneurysm repair. You will be leaving the Cook Medical website that you were viewing and going to a Cook Medical website for another region or fejestrated. Physician-modified endovascular grafts for the treatment of elective, symptomatic, or ruptured juxtarenal aortic aneurysms.

2016 Zenith Fenestrated® clinical update

Off-the-shelf devices are stent grafts that are available for immediate use and are designed to accommodate the majority of the general population with a finite number of configurations and a modular design.

Prospective, multicenter experience with the Ventana Fenestrated System for juxtarenal and pararenal aortic aneurysm endovascular repair. The branches are primarily intended to be used with self-expanding stents grafts.

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Zenith® Fenestrated AAA Endovascular Graft Distal Bifurcated Body Grafts | Cook Medical

Fenestrated and branched grafts for para-anastomotic aortic aneurysm repair. The chimney graft technique for preserving visceral vessels during endovascular treatment of aortic pathologies. Long-term outcome of feneshrated or endovascular repair of abdominal aortic aneurysm. Outcomes following endovascular vs open repair of abdominal aortic aneurysm: Our team developed a streamlined process for evaluation and local recruitment of these patients with challenging EVAR anatomy.

Getting Started With the Zenith Fenestrated Graft

There have been 4 reports of an increase in aneurysm size, all in conjunction with a Type II endoleak. The final part of the physician training course involved hands-on device deployment under fluoroscopy on a tabletop fnestrated to understand the general steps in completing a case with the Zenith Fenestrated device.

The expertise of several colleagues and proctors nationally to share in their experience, as well as my local partners and ancillary staff, has been extraordinary as we shepherd fenestratd this next wave of advanced EVAR treatments.