Common Designs of Custom-Made Fenestrated Arch Devices and Applicability of an Off-the-Shelf Design.
Gouveia E Melo, Ryan Fernández Prendes, Carlota Khanafer, Adib Wanhainen, Anders Mani, Kevin Rouhani, Guido Chao, Victor Tay, Kiang Hiong Chong, Tze Tec Adam, Donald
Gouveia E Melo, Ryan
Fernández Prendes, Carlota
Khanafer, Adib
Wanhainen, Anders
Mani, Kevin
Rouhani, Guido
Chao, Victor
Tay, Kiang Hiong
Chong, Tze Tec
Adam, Donald
Abstract
One hundred thirty-one graft plans were included. All grafts were custom-made grafts from the COOK Medical Fenestrated arch platform. Ninety-four (71.8%) had a scallop-and-single-fenestration design, 33 (25.2%) had a single fenestration and 4 (4.3%) a single scallop. For analysis purposes, these latter 4 grafts were excluded. Two main graft plans (Plans 1 and 2) were proposed after analysis with similar configuration (1 scallop with 30 mm width, 20 mm height, 12:00 position; 1 preloaded fenestration with 8 mm diameter, 26 mm from the top of the graft and 12:00 position; tapered, with a 193 mm length and 32 mm distal diameter) but with 2 different proximal diameters of 38 mm (Plan 1) and 44 mm (Plan 2), reaching an overall feasibility of 85.8% (n=109), being 47.2% (n=60) and 38.6% (n=49) for each design, respectively.
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Date
2023-06-09
Type
Article
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Collections
Citation
Gouveia E Melo R, Fernández Prendes C, Khanafer A, Wanhainen A, Mani K, Rouhani G, Chao V, Tay KH, Chong TT, Adam D, Dias N, Agaev A, Tsilimparis N. Common Designs of Custom-Made Fenestrated Arch Devices and Applicability of an Off-the-Shelf Design. J Endovasc Ther. 2025 Apr;32(2):481-489. doi: 10.1177/15266028231179593. Epub 2023 Jun 9.