Total Endovascular Repair of Complex Thoracoabdominal/Abdominal Aortic Aneurysms with a Four-Branched Off-the-Shelf G-Branch™ Stent Graft

Ann Vasc Surg. 2021 Feb:71:534.e7-534.e12. doi: 10.1016/j.avsg.2020.08.155. Epub 2020 Sep 16.

Abstract

Background: This study was performed to demonstrate the feasibility and effectiveness of a novel off-the-shelf endograft (G-Branch™; Lifetech Scientific, Shenzhen, China) for the treatment of patients with complex thoracoabdominal/abdominal aortic aneurysms.

Methods: Three patients (1 with a suprarenal abdominal aortic aneurysm and 2 with thoracoabdominal aortic aneurysms) were treated with the G-Branch endograft involving 2 proximal inner branches for the celiac axis and superior mesenteric artery and 2 distal side directional branches for the bilateral renal arteries.

Results: Technical success was achieved in all 3 patients, and no postoperative complications occurred. At 6-month follow-up, no adverse events occurred, and all the target vessels were patent.

Conclusions: The newly developed G-Branch device allows the achievement of total endovascular revascularization of the visceral and renal arteries. Use of this device is feasible and effective. Long-term follow-up and a larger clinical trial are necessary to evaluate its reliability and durability.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Aneurysm, Abdominal / diagnostic imaging
  • Aortic Aneurysm, Abdominal / surgery*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Vessel Prosthesis Implantation / instrumentation*
  • Blood Vessel Prosthesis*
  • Endovascular Procedures / instrumentation*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Design
  • Stents*
  • Treatment Outcome