Fensmith

Ring phase:

Drawn to scale on paper; the screen view is resized to fit. Solid circle = fenestration, dashed = cuff footprint; the mark beside each fen is its strut check for the map shown: ✓ clear, ◆ tucked or trimmed, ▲ check, ✕ breaks a rule, ○ not checked. Drag any fen to move them all.

Patient

Name MRN Case date Final review

Graft

Device Size

Position the fenestrations on the graft

Celiac: distance from the top of the fabric mm Moves every fen up or down (the plan sheet's "Adjusted" distance down for the top vessel, the celiac).

Reference vessel The zero line: every arc is measured from it, its fen gets the 3 mm strut rule, and Best fit builds around it. The SMA, unless a celiacomesenteric trunk, an occluded celiac, an IMA case or the like calls for another.

SMA adjusted arc mm Moves every fen sideways off the struts; + is to the right on the laid-out graft (the patient's left).

Contralateral gate points to (clock)

Or let try every celiac distance and SMA adjusted arc.

Vessels (top-down: the first row is the top vessel; each vessel's diameters, clock face and distance below the top vessel come from the CT)

Type	Vessel	IVD mm	AVD mm	Clock h:mm	Below top mm	Fen size mm	Push out mm	Arc (mm)		Down from top, mm	Strut check mm
Type	Vessel	IVD mm	AVD mm	Clock h:mm	Below top mm	Fen size mm	Push out mm	Absolute	Adjusted	Down from top, mm	Strut check mm

e.g. an accessory renal or the IMA. ✕ removes a vessel (any but the reference vessel). Type "None" keeps a vessel on the sheet without a fenestration; "Outer" or "Inner" sews a graft branch over its fen. "Push out" moves one fen further from the reference vessel (more lateral) when it lands on a strut.

Vessel plan (bridging stents, vessel characteristics, side branches)

Vessel	Stent	Vessel characteristics	Side branches

Plan notes Prior intervention Grafts Notes

Printing Also print a fenestration-only page (no struts) for transparency film

Print at Scale 100% (Chrome/Edge: Scale "Default"), Letter paper. On every map page, check with a ruler that 0 to 100 on the left ruler measures 100 mm.

Name MRN Case date Final review

Arcs from Gate points to

Artery	IVD (AVD)		Distance down	Arc	Fen mm	Push out	Strut mm	Vessel

Prev intervention
Grafts
Notes

Also print a fenestration-only page for transparency film

Yellow cells place the fens: the top vessel's adjusted distance down, each other vessel's absolute distance down, and the reference vessel's adjusted arc. The rows sort top-down when a distance is entered. Print at Scale 100% on Letter paper.