A standardized physician-modified endograft workflow utilizing the punch card technique and the Hungaroring reinforcement to treat complex abdominal aortic aneurysms

Csaba Csobay-Novák; Bendegúz Juhos; András Szentiványi; Ákos Bérczi; Artúr Hüttl; Péter Sótonyi

doi:10.1016/j.jvscit.2024.101649

A standardized physician-modified endograft workflow utilizing the punch card technique and the Hungaroring reinforcement to treat complex abdominal aortic aneurysms

J Vasc Surg Cases Innov Tech. 2024 Oct 22;11(1):101649. doi: 10.1016/j.jvscit.2024.101649. eCollection 2025 Feb.

Authors

Csaba Csobay-Novák¹, Bendegúz Juhos¹, András Szentiványi¹, Ákos Bérczi¹, Artúr Hüttl¹, Péter Sótonyi²

Affiliations

¹ Department of Interventional Radiology, Semmelweis Aortic Center, Heart and Vascular Center, Semmelweis University, Budapest, Hungary.
² Department of Vascular and Endovascular Surgery, Semmelweis Aortic Center, Heart and Vascular Center, Semmelweis University, Budapest, Hungary.

Abstract

The physician-modified endograft technique is becoming widely accepted as an alternative to standard fenestrated endovascular aortic repair. We report a streamlined workflow based on a bifurcation endograft, using the punch card and the Hungaroring reinforcement, two novel additions to the armamentarium that might contribute to the safety and durability of such repairs. A cohort of 11 patients was treated with 43 vessels incorporated. The clinical success rate was 100%. No major adverse event or death was recorded at 30 days. The punch card and the novel reinforcement technique might improve the safety and durability of such repairs.

Keywords: Endovascular aortic repair; Fenestrated; Juxtarenal; Physician-modified.