Objective: to address the clinical problem of inadequate neck length of abdominal aortic aneurysms in endoluminal surgery.
Design: a covered suprarenal aortic stent was designed with a fenestration to preserve blood flow in a targeted renal artery.
Method and material: a Dacron-covered stent was accurately cut to size with a fenestration according to pre-imaging studies.
Results: the stent was successfully deployed in canine models, preserving the visceral and renal artery of interest.
Conclusion: by accurately placing a covered stent in the aorta and preserving the blood flow to its branches, it may be possible to extend the indications for endoluminal aortic aneurysm grafting.
Copyright 1999 Harcourt Publishers Ltd.