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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

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Inner Branch Endografts in Complex AAA: Case Reports Comparing Off-The-Shelf and Custom-Made Options.

Pere Altés¹, Ivan Sánchez¹, Lucía Martínez¹

¹Department of Angiology and Vascular Surgery, Germans Trias i Pujol University Hospital, Catalonia, Badalona, Spain, germanstrias.org.

Case Reports in Surgery

|December 31, 2025

Summary

This summary is machine-generated.

The E-nside off-the-shelf endograft is safe for complex aortic aneurysms, offering quick access for emergent cases. Custom-made grafts resulted in less aortic coverage, with similar radiation exposure for both complex aortic aneurysm repair options.

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

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Published on: May 21, 2017

Area of Science:

Vascular Surgery
Endovascular Aneurysm Repair (EVAR)
Aortic Aneurysm Management

Background:

Complex aortic aneurysms often require patient-specific endografts due to anatomical challenges.
The E-nside system is a unique off-the-shelf thoracoabdominal endograft with pre-cannulated inner branches.
Comparing off-the-shelf (E-nside) with custom-made (E-xtra Design MultiBranch) endografts is crucial for real-world complex aortic aneurysm repair.

Purpose of the Study:

To describe and compare clinical indications, technical features, and intraoperative outcomes.
To evaluate the safety and efficacy of the E-nside and E-xtra Design MultiBranch endografts in treating complex abdominal aortic aneurysms (AAA).

Main Methods:

A case series comparing the off-the-shelf E-nside and custom-made E-xtra Design MultiBranch endografts.
Analysis of clinical indications, technical aspects, and intraoperative outcomes in real-world settings.
Focus on complex abdominal aortic aneurysm (AAA) repair.

Main Results:

Both E-nside and E-xtra Design MultiBranch endografts demonstrated safety in complex aortic aneurysm repair.
The off-the-shelf E-nside system proved more suitable for emergent cases due to rapid availability.
Custom-made grafts led to reduced aortic coverage, while radiation exposure was comparable between the two types.

Conclusions:

Both off-the-shelf and custom-made endografts are safe options for complex aortic aneurysm repair.
E-nside's availability makes it advantageous for urgent complex aortic aneurysm interventions.
Customization offers benefits in aortic coverage, but overall radiation exposure remains similar.