VT05 - Bidirectional Double-Barrel Stent Grafting for a Celiaco-Mesenteric Trunk in Fenestrated Endovascular Aortic Repair — with Historical Insight into the Terminology of This Anatomical Variant

Thursday, June 11, 2026

5:00 PM - 6:15 PM ET

Location: Hynes CC, Second Level, Hall D

Submitting & Presenting Author(s)

Hiroshi Mitsuoka, MD, PhD (he/him/his)

General Manager, Vascular and Endovascular Center
Shizuoka City Shizuoka Hospital
Shizuoka City, Shizuoka, Japan

Co-Author(s)

HF

Hiroki Furuhashi

Japan
YT

Yasuhiko Terai

Japan
Takahiro Suzuki, MD

Shizuoka, Shizuoka, Japan

Summary: A 77-year-old man with a pararenal AAA was successfully treated using a triple-fenestrated PMEG for the celiaco-mesenteric trunk (CMT) and bilateral renal arteries. Because the celiac artery originated only 2 mm distal to the CMT, two VBX stent grafts (6 mm and 7 mm) were deployed bidirectionally through a single fenestration—cranially toward the celiac artery and caudally toward the superior mesenteric artery. Preoperative 3D-model–assisted simulation using cone-beam CT helped optimize stent sizing and minimize gutter formation.