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NYC first: Complex aneurysm treated using new fenestrated endograft stent
Date:7/7/2008

NEW YORK (July 07, 2008) -- In a New York City metro-area first, a 93-year-old Bronx man underwent implantation of a new stent graft at NewYork-Presbyterian Hospital, the only center on the Eastern Seaboard with access to this investigational device. The new stent graft was implanted under an FDA-approved clinical trial protocol. The stent graft is designed to treat a complex form of abdominal aortic aneurysms in which the weakened, enlarged vessel wall is too close to the arteries leading to the kidneys. These complex aneurysms cannot be safely treated with currently available aortic stent grafts and would otherwise require major surgery. Without treatment, patients with aortic aneurysms are at risk for sudden death.

The unique device, known as a fenestrated endograft, is a tubular, fabric graft with supporting metal stents that features custom-positioned holes (fenestrations) that ensure proper blood flow through the aorta and to the kidneys and nearby organs.

The three-hour procedure was performed under local anesthesia on July 1 at NewYork-Presbyterian Hospital/Columbia University Medical Center as part of an ongoing FDA-sanctioned clinical trial at three national sites (including NewYork-Presbyterian Hospital/Weill Cornell Medical Center). The fenestrated endograft was placed through a small incision in the groin, into the patient's arteries replacing the enlarged blood vessel and allowing for the safe passage of blood to the lower extremities.

Because every patient's anatomy is slightly different, each device, the Zenith Fenestrated AAA Endovascular Graft by Cook Medical, is custom manufactured from a 3-D computer model based on a spiral CT scan of the patient.

Approximately 10 percent of abdominal aortic aneurysm patients have an affected area close to branching arteries for the kidneys, small bowel and liver.

"Until now, stenting these patients with a traditional endograft has been difficult or imp
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Contact: Belinda Mager
bem9048@nyp.org
212-305-5587
New York- Presbyterian Hospital/Columbia University Medical Center
Source:Eurekalert

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