Fig. 2
a Loading wires in a fenestrated device. The Cook Zen-fen proximal graft was ordered with 1 scallop to accommodate the SMA and 2 small fenestrations to accommodate renal arteries. The device is deployed on a sterile back table and a 0.014 and 0.018 long wires are placed through the scallop into the body of the fenestration device, out through the small (renal) fenestrations. b Re-sheathed the device after loading wires. The device is now re-sheathed and ready to be implanted. The preloaded wires allow for cannulation of target vessels and placement of bridging stents from the axillary access site prior to releasing constraining wires