To determine if a physician-modified endovascular graft (PMEG) is a safe and effective method of treating juxtarenal aortic aneurysms in patients considered to be unsuitable for open surgical repair.

2023年3月13日 · Physician-modified endovascular grafts (PMEGs) offer a percutaneous and effective option for repairing complex thoracoabdominal aortic aneurysms. A stent graft is modified onsite using strict sterile technique with reinforced fenestrations created based on the patient’s specific anatomy.

We describe the feasibility and safety of a standardized approach for four-fenestrated physician-modified endograft (PMEG) placement to treat complex abdominal aortic aneurysms using the Valiant Captivia platform (Medtronic).

We describe the feasibility and safety of a standardized approach for four-fenestrated physician-modified endograft (PMEG) placement to treat complex abdominal aortic aneurysms using the Valiant Captivia platform (Medtronic). The standardization is based on speci c selection criteria for anatomical feasibility, measurement method, and modi cation.

Objective: To determine if a physician-modified endovascular graft (PMEG) is a safe and effective method of treating juxtarenal aortic aneurysms in patients considered to be unsuitable for open surgical repair.

2024年12月15日 · PMEGs are off-the-shelf devices that are modified on the back table by the physician to suit that patient's anatomy. This brief review aimed to review the current role of PMEG in urgent complex and TAAA repair.

2024年5月3日 · Patients with prohibitively high surgical risk and visceral segment disease are often candidates for this intervention, which mitigates much of the morbidity and mortality associated with conventional open repair. Here we present the institutional PMEG experience of a high-volume aortic center.

2012年9月1日 · To determine if a physician-modified endovascular graft (PMEG) is a safe and effective method of treating juxtarenal aortic aneurysms in patients considered to be unsuitable for open surgical repair.

Thoracoabdominal repairs demonstrated improved survival at 1 year with PMEG devices, significant for TAAA I to III repairs (TAAA I-III, PMEG 85% vs PG 74% [P = .01]; TAAA IV, 84% PMEG vs PG 78% [P = .08]).

2011年6月17日 · Dr. Starnes noted that 47 patients underwent fenestrated endovascular repair using a PMEG during a 3-year period. Of these 47 patients, 38 (80%) were symptomatic or had rapid aneurysm expansion. Also, 80% of all patients were American Society of Anesthesiologists category III or IV.