Now available in Baton Rouge, the Zenith Fenestrated Graft offers an effective, minimally invasive treatment for abdominal aortic aneurysms. The Zenith® p-Branch® and Zenith® Fenestrated AAA Endovascular Graft Single -Center Study is a clinical trial approved by US FDA to study the safety and. The Zenith fenestrated endovascular (ZFEN) stent graft is a modular system that consists of a proximal body.

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The only late complication reported was a renal stent occlusion at 3 months, and it was successfully treated with ballooning and distal nitinol stent placement. There was one perioperative death related to bowel ischemia leading to an early mortality rate of 1.

Though this feature does have its advantages, it was felt that repositioning led to embolization of thrombotic material and renal failure in one patient. Internal Iliac Artery Branch Graft Devices There are currently two iliac branch devices feneatrated trial in the United States for the preservation of internal iliac artery flow in the setting of common iliac artery aneurysms.

Zenith® Fenestrated AAA Endovascular Graft Distal Bifurcated Body Grafts | Cook Medical

Although all zsnith policies are different, understanding this process might be new to many surgeons. Anatomic feasibility of off-the-shelf fenestrated stent grafts to treat juxtarenal and pararenal abdominal aortic aneurysms J Vasc Surg 60 4 — Starnes B W, Tatum B. Not all products are approved in all regulatory jurisdictions.

JacksonMD 1. The stent graft is custom designed for each patient.

The study concluded that although early clinical data were favorable, strict attention would be required for proper patient selection and assessment of the proximal landing zone as well as configuration of the aorta near branch points. Fusce porttitor justo cursus est mattis lobortis. Interested in Ordering this Product? Starnes conducted a retrospective, nonrandomized, single-institution study assessing the safety of physician modification of the already FDA-approved Zenith Flex aortic stent graft Cook Inc.


Anatomical suitability of the Frnestrated stent-graft in patients with thoracoabdominal aortic aneurysms treated using custom-made multibranched endografts. Personal calls to local surgeons and primary care physicians informing them of our new access to the Zenith Fenestrated device immediately generated several referrals, and the word spread relatively quickly.

From that point on during the training, the physician should have developed a list of catheters, balloons, sheaths, and ancillary endovascular equipment to successfully plan out their required two proctored cases. Making sure your hospital staff understands this process will make the ordering and delivery of devices more streamlined. Fenestrated and branched stent-grafts for thoracoabdominal, pararenal and juxtarenal aortic aneurysm repair.

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Fusce porttitor justo cursus est mattis lobortis. Two deaths did occur secondary to contained ruptures and one type 2 endoleak is being observed.

Getting Started With the Zenith Fenestrated Graft

Until this is available, your continued use of this site will be deemed as consent to use of cookies. We changed our scheduling system so we could book a fenestrated EVAR case, and the staff would know to pull the additional ancillary equipment. Prospective, multicenter experience with the Ventana Fenestrated System for juxtarenal and pararenal aortic aneurysm endovascular repair.

Section III summarizes the findings from explant analysis.

Endovascular Today – Getting Started With the Zenith Fenestrated Graft (May )

Two of the patients were repaired for rupture. This product line is serviced by the following clinical division s: This allows clear visualization of the target renal arteries fendstrated catheterizing through the small fenestrations.


Participants at the training course should try to plan and size and get signed off on by the faculty course leader for one, if not both, of their required proctored cases.

Treatment of short-necked infrarenal aortic aneurysms with fenestrated stent-grafts: Improved efficiency and safety with utilization of a hybrid room for EVAR. There was one in-hospital mortality related to aspiration and two deaths in the follow-up period, including one patient at day who died of endograft migration and SMA occlusion. The graft can be used either as a single component when building up from a prior aortic repair or as fenestrafed proximal component in combination with other Zenith devices.

Physician-modified endovascular grafts for the treatment of elective, symptomatic, or fenrstrated juxtarenal aortic aneurysms.

2016 Zenith Fenestrated® clinical update

Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. The modular system comprises a proximal body graft, a distal bifurcated graft, and one iliac limb.

Consult the Instructions for Use for a more thorough examination of the deployment protocol, MRI safety, indications for use, contraindications, warnings, and precautions. There were eight renal events, namely, four renal artery stenoses, two renal artery occlusions, and two renal infarcts. Contact your local Cook representative or Customer Service for details. The patients underwent repair with the off-the-shelf Zenith p-Branch device between August and September for juxtarenal aneurysms.

The graft components are made of woven polyester fabric sewn to self-expanding Cook-Z stents. Two endoleaks were identified and addressed intraoperatively, four type 2 endoleaks were noted on discharge, and one type 2 endoleak was identified at the most recent follow-up.