Fenestrated Endovascular Repair

So, fenestrated endovascular repair has really changed or expanded the way we can fix aneurysms that come very close to the renal arteries. You know, in order to be able to completely repair the aneurysm is one thing, but to provide a more durable repair that could completely exclude or remove the aneurysm from the flow and stay like that for many more years is another thing. So that is where endovascular repair with fenestrations or branches came along, meaning you can actually put the graft higher than the renal arteries and make holes that are custom made for the patient to accommodate for the renal arteries or accommodate for the arteries of the gut like the celiac artery or the SMA, superior mesenteric artery, in in order to provide a durable, long-term repair of an abdominal aortic aneurysm.