case_images: PMC11804137_01
case_images: 6 cm juxtarenal aortic aneurysm with accessory renal artery on the left kidney originating from aneurysmal sac.
case_images: 10.1177_15385744241290011-fig1.jpg
case_images: PMC11804137_01_10.1177_15385744241290011-fig1.jpg
case_images: fig1-15385744241290011
case_images: A subsequent computed tomography angiogram (CTA) (Figure 1) confirmed the presence of a 6 cm juxtarenal aortic aneurysm and a 5 mm accessory renal artery (ARA) on the left kidney.
case_images: Angiography for a 2D/3D fusion of target vessels prior to stent implantation. All visceral arteries were patient throughout their length.
case_images: 10.1177_15385744241290011-fig2.jpg
case_images: PMC11804137_01_10.1177_15385744241290011-fig2.jpg
case_images: fig2-15385744241290011
case_images: Preliminary angiography (Figure 2) was conducted for 2D/3D fusion imaging of the target vessels before proceeding with stent implantation. During the LRA stenting, one branch was intentionally covered to ensure a proper distal seal (white arrow, Figure 2).
case_images: Catheterization and stenting of visceral arteries respectively: SMA (A) two 8 mm BE were used, right renal artery (RRA) (B) 6 mm BE and SE were used, left accessory renal artery (LARA) (C) 6 mm BE and SE were used, left renal artery (LRA) (D) 6 mm SE was used, truncus coeliacus (TC) (E) 8 mm BE was used.
case_images: 10.1177_15385744241290011-fig3.jpg
case_images: PMC11804137_01_10.1177_15385744241290011-fig3.jpg
case_images: fig3-15385744241290011
case_images: Subsequently, access through the right brachial artery, where 12-Fr and 8-Fr sheaths had been introduced, allowed for catheterization and stenting of the visceral arteries (Figure 3).
case_images: Final angiography after 5 branch CMD implantation (A) with bifurcated graft and iliac legs extensions (B). All visceral arteries are patient with no signs of endoleaks or dissection observed.
case_images: 10.1177_15385744241290011-fig4.jpg
case_images: PMC11804137_01_10.1177_15385744241290011-fig4.jpg
case_images: fig4-15385744241290011
case_images: Once all target vessels were stented, a final angiographic assessment was performed to identify any signs of dissection or endoleaks (Figure 4).