Introduction:

Aortic aneurysm has a prevalence of 5.7%. Its final outcome without is a rupture, and occasionally death. Endovascular repair can currently be carried out using a fenestrated stent graft in patients in whom a surgical procedure is not feasible. These grafts are designed to adapt to the unique anatomy of each patient, and makes room for one or more visceral vessels to flow, achieving satisfactory results.

Objective:

To report a case series of patients with aortic aneurysms treated with a fenestrated stent graft between 2013 and 2017 in a cardiovascular reference centre in Medellín, Colombia.

Method:

A descriptive, retrospective study was conducted on a case series, in which the information was obtained for a secondary source. The results are presented as percentages and frequencies. The statistics program SPSS version 20.00 was used.

Results:

The majority of patients were male, and the mean age was 69.5 ±7.9 years. The median aneurysm diameter was 6.0 cm (IQR 5.0-8.25). The majority of complications were vascular. Some type of radiological follow-up was carried out on 80% of the patients at one month, 6 months, and 12 months after the intervention. All of them (100%) required revascularisation of the vessels intervened.

Conclusions:

The risk-benefit ratio is considered adequate for this technique. It means that, for the specific group of patients that have clinical and anatomical characteristics that make surgery highly unlikely, the use of fenestrated stent grafts are safe, and have similar clinical and survival results when compared with the literature.

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