Abdominal & Thoracoabdominal Aorta
Fenestrated & Branched EVAR (FB-EVAR)
Custom stent-grafts for complex and thoracoabdominal aneurysms.
What it is
FB-EVAR is a minimally invasive solution for complex and thoracoabdominal aneurysms that sit too close to the arteries supplying the kidneys, intestines, and liver. Custom stent-grafts with small openings (fenestrations) or side branches preserve blood flow to those organs while sealing off the aneurysm — avoiding the large incision of open surgery.
When it’s recommended
- Complex (juxtarenal/pararenal) and thoracoabdominal aneurysms
- Patients who benefit from a minimally invasive approach
- Anatomy involving the renal and visceral arteries
How it’s performed
Every plan is individualized and reviewed by our multidisciplinary aortic team.
High-resolution imaging to design a patient-specific device
Custom fenestrations/branches are planned for each artery
The graft is delivered endovascularly and aligned to the branches
Branch vessels are stented to preserve organ blood flow
Recovery & follow-up
Recovery is generally faster than open repair, with a short hospital stay; because durability depends on the device, structured lifelong surveillance imaging is essential.
Why the Baylor Medicine Center for Aortic Surgery
Complex aortic care is safest in experienced hands. Dr. Oderich and the Center bring more than 7,000 open and endovascular aortic repairs of experience, advanced imaging, and a multidisciplinary team to every case.
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