# Staged Therapy of Polyaneurysmal Disease Including the World's First BeFlared Use in Anaconda FEVAR

## TL;DR

An 82-year-old man with multiple artery aneurysms was successfully treated using a new combination of surgical and endovascular techniques.

## Contribution

The paper reports the first use of BeFlared in Anaconda FEVAR for polyaneurysmal disease.

## Key findings

- Staged therapy successfully treated polyaneurysmal disease in an elderly patient.
- BeFlared bridging stent grafts were smoothly implanted with Anaconda FEVAR.
- Combining grafts and endovascular techniques proved effective for complex vascular cases.

## Abstract

Abdominal aortic aneurysms frequently coincide with popliteal artery aneurysms. The association with multiple peripheral aneurysms, sometimes called polyaneurysmal disease, is less frequent.

An 82-year-old male was diagnosed with polyaneurysmal disease. He was treated by femoral, popliteal, and profundal interposition grafts as well as fenestrated endovascular repair (FEVAR) using an Anaconda (Terumo Aortic, Inchinnan, Scotland) endoprosthesis combined with BeGraft peripheral and BeFlared (BF) bridging stent grafts (Bentley InnoMed, Hechingen, Germany).

Polyaneurysmal disease in an aged patient can be treated successfully by thorough case planning, staging of procedures, and combining different vascular surgical techniques. It demonstrates the smooth implantation of the BeFlared in an Anaconda FEVAR.