Related Experiment Video
Updated: Feb 7, 2026
04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
563
Physician-modified four-fenestration endograft: The first case in Türkiye
İlker İnce1, İsa Civelek1, Ceylan Gürcan1
1Department of Cardiovascular Surgery, University of Health Sciences Türkiye, Ankara Etlik City Hospital, Ankara, Türkiye.
Turk Gogus Kalp Damar Cerrahisi Dergisi
|February 5, 2026
Summary
Physician-modified endografts offer a solution for complex aortic diseases. This first-in-Türkiye case successfully used a four-fenestration endograft for a visceral aortic rupture, ensuring organ perfusion and aneurysm exclusion.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Repair
Background:
- Endovascular repair is standard for aortic diseases, but visceral branch involvement is challenging.
- Custom fenestrated endografts are costly and unavailable for urgent cases.
Purpose of the Study:
- To report the first physician-modified four-fenestration endograft (PMEG) procedure in Türkiye.
- To address technical challenges in endovascular repair of visceral aortic disease.
Main Methods:
- A physician-modified four-fenestration endograft (PMEG) was used.
- The procedure was performed for a contained rupture of the visceral aorta.
Main Results:
- Successful revascularization of all four visceral branches.
- Complete exclusion of the aortic aneurysm.
- Uneventful patient recovery with confirmed graft integrity and branch patency at one month.
Conclusions:
- Physician-modified endografts are a viable option for complex aortic pathologies.
- PMEG can overcome limitations of custom devices in urgent settings.
- Successful visceral branch revascularization was achieved in a challenging case.
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