What is Branched & Fenestrated Repair? (Model Demonstration)

If you consider this as the model of the abdominal aorta, if the aneurysm would not start here but start right up here by the kidney arteries or even higher when there There are other two branches that goes to the intestine are up here. So I need to accommodate or we need to accommodate these branches within the repair. So if I take this graft here and put it inside, I would stop the flow into the renal arteries or the kidney arteries. So branched and fenestrated repair would allow to have holes inside these grafts that are custom made based on the patient anatomy. And when I go ahead and try to deploy this graft inside the body, these holes will line up with these arteries and allow me to maintain the blood flow to all the branches that I need to maintain the blood flow to, meaning the kidneys will still get blood flow and the gut vessels, which is the two branches here, would keep having blood flow going through them and at the same time the aneurysm will be removed from getting blood into it because their graft will be excluding the aneurysm from the flow. So that is how you fix what we call a complex abdominal aortic aneurysm or a complex aortic aneurysm is by creating a graft that is custom made based on the patient anatomy on CT scan and maintaining blood flow to all the important vessels that we need to maintain blood flow and at the same time treating the aneurysm by removing it from the circulation. It is really an innovative way of fixing an abdominal aneurysm, especially on patients who cannot have an open repair.