Standardized Branch Closure of a Zenith t-Branch with the Amplatzer Vascular Plug-in Visceral Vessel Occlusion

Bonanno P, Donato F, Ottavi P, Grasselli F, Gugliotta MC, Silvestri GP and Micheli R
 

Unit of Vascular Surgery, Azienda Ospedaliera Santa Maria, Terni, Italy
Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS, Roma - Università Cattolica del Sacro Cuore, Italy

^*Correspondance to: Paolo Bonanno 

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Abstract:

The Zenith t-Branch endograft (Cook Medical, Bloomington, IN) is an off-the-shelf multibranched prosthesis available for the treatment of thoracoabdominal aortic aneurysm in patients unfit for open repair. In challenging aortic anatomies, because some branches may not have a patent target vessel for connection, the plugging of the unusable branch can increase the anatomic applicability of off-the-shelf devices. We report an approach using a 12-mm Amplatzer Vascular Plug for intraoperative closure of celiac artery branch and a 10-mm Amplatzer Vascular Plug for renal artery branch closure.

Keywords:

Zenith T-branch; Multibranched stent graft; Endovascular repair; Thoracoabdominal aortic aneurysm

Cite the Article:

Bonanno P, Donato F, Ottavi P, Grasselli F, Gugliotta MC, Silvestri GP, et al. Standardized Branch Closure of a Zenith t-Branch with the Amplatzer Vascular Plug-in Visceral Vessel Occlusion. Clin Case Rep Int. 2024; 8: 1693.