Fenestrated Aortic Endografts: Juxtarenal and Pararenal Aortic Aneurysms



Anatomical variation in the visceral aortic segment is considerable. The celiac trunk follows the classical configuration in only 50 % of cases. The SMA, typically arising approximately 1 cm distal to the celiac artery, may also originate as a celiac-mesenteric trunk, or together with the splenic artery. The renal arteries typically arise at approximately the same level as each other, and usually but not always, distal to the level of the SMA. Each kidney is supplied by a single hilar artery in as few as 55 % of cases, with accessory arteries, double hilar arteries and single arteries with precocious bifurcation being the most common variations. To take account of such individual disparity, often accentuated by aortic tortuosity and aneurysmal distortion, fenestrated stent grafts which allow for preservation of aortic side branches are by necessity custom-made on an individual patient basis.


Renal Artery Aortic Aneurysm Abdominal Aortic Aneurysm Stent Graft Target Vessel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Chaikof EL, Blankensteijn JD, Harris PL, et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35(5):1048–60.PubMedCrossRefGoogle Scholar
  2. 2.
    Bicknell CD, Cheshire NJ, Riga CV, et al. Treatment of complex aneurysmal disease with fenestrated and branched stent grafts. Eur J Vasc Endovasc Surg. 2009;37(2):175–81.PubMedCrossRefGoogle Scholar
  3. 3.
    Kristmundsson T, Sonesson B, Malina M, et al. Fenestrated endovascular repair for juxtarenal aortic pathology. J Vasc Surg. 2009;49(3):568–74. discussion 574–5.PubMedCrossRefGoogle Scholar
  4. 4.
    Muhs BE, Verhoeven EL, Zeebregts CJ, et al. Mid-term results of endovascular aneurysm repair with branched and fenestrated endografts. J Vasc Surg. 2006;44(1):9–15.PubMedCrossRefGoogle Scholar
  5. 5.
    Semmens JB, Lawrence-Brown MM, Hartley DE, et al. Outcomes of fenestrated endografts in the treatment of abdominal aortic aneurysm in Western Australia (1997–2004). J Endovasc Ther. 2006;13(3):320–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Greenberg RK, Sternbergh 3rd WC, Makaroun M, et al. Intermediate results of a United States multicenter trial of fenestrated endograft repair for juxtarenal abdominal aortic aneurysms. J Vasc Surg. 2009;50(4):730–737 e1.PubMedCrossRefGoogle Scholar
  7. 7.
    O’Neill S, Greenberg RK, Haddad F, et al. A prospective analysis of fenestrated endovascular grafting: intermediate-term outcomes. Eur J Vasc Endovasc Surg. 2006;32(2):115–23.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Multidisciplinary Endovascular TeamUniversity College London and University College London HospitalLondonUK
  2. 2.Department of RadiologyMalmo University HospitalMalmoSweden

Personalised recommendations