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Fenestrated Endovascular Aortic Aneurysm Repair - 'FEVAR'

Minimally-Invasive Treatment for Complex Aneurysms


Endovascular aneurysm repair (EVAR) is a minimally-invasive treatment option for patients with an abdominal aortic aneurysm (AAA). Treatment involves deployment of a stent graft (endograft) in to the aorta under X-ray guidance to 'seal off' the aneurysm and exclude it from the circulation.

In some cases, there is an inadequate seal zone for a standard stent graft below the renal (kidney) arteries. If a patient is not suitable for open surgery, a 'fenestrated' endovascular aneurysm repair (FEVAR) can be used. This is a custom-made endograft designed to fit individual patient anatomy. The seal zone for the endograft is extended across the level of the renal (kidney) arteries +/- visceral (gut) arteries. To maintain blood flow to these arteries, fenestrations (windows) are made in the graft fabric. This allows for selection of each vessel with a wire and deployment of stents between the main graft and the target vessel.


Figure 1: Fenestrated Zenith AAA Endograft (Cook Medical)


FEVAR is a highly specialised technique, and is an area of special interest to Mr Milne. He will discuss the details of the procedure in detail with you during your pre-operative consultation.

Return to the Treatment Options for Aortic Aneurysms page.

Main Consulting Rooms

Suite 55, Cabrini Medical Centre,
183 Wattletree Rd,
Malvern VIC 3144

For all enquiries...
Please contact the office between
8:30am to 4:30pm, Monday to Friday

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