Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection

被引:5
作者
Stella, Steffan Frosi [1 ]
Lindsay, Thomas F. [2 ]
Tan, Kong T. [1 ]
机构
[1] Univ Toronto, Univ Hlth Network, Toronto Gen Hosp, Dept Med Imaging,Div Vasc & Intervent Radiol, Toronto, ON, Canada
[2] Univ Toronto, Univ Hlth Network, Toronto Gen Hosp, Dept Surg,Div Vasc Surg, Toronto, ON, Canada
关键词
F-EVAR; Chronic dissection; Radiofrequency wire; Fenestration; TEVAR; ARCH;
D O I
10.1016/j.jvs.2018.06.200
中图分类号
R61 [外科手术学];
学科分类号
摘要
Chronic type B aortic dissection with aneurysmal degeneration requiring intervention presents significant therapeutic challenges. Thoracic endovascular aortic repair with a fenestrated endograft is a feasible option, but false lumen branches without an adjacent re-entry or perforation in the septum can pose a significant challenge. We present two cases of fenestrated endovascular aneurysm repair for chronic type B aortic dissection in which a renal artery from the false lumen was cannulated by creating a "neofenestration" through the dissection flap using a radiofrequency PowerWire (Baylis Medical Inc, Montreal, Quebec, Canada) technique (Toronto PowerWire fenestration technique).
引用
收藏
页码:249 / 252
页数:4
相关论文
共 10 条
[1]   Radiofrequency thermal wire is a useful adjunct to treat chronic central venous occlusions [J].
Iafrati, Mark ;
Maloney, Stephen ;
Halin, Neil .
JOURNAL OF VASCULAR SURGERY, 2012, 55 (02) :603-606
[2]   Contemporary Management Strategies for Chronic Type B Aortic Dissections: A Systematic Review [J].
Kamman, Arnoud V. ;
de Beaufort, Hector W. L. ;
van Bogerijen, Guido H. W. ;
Nauta, Foeke J. H. ;
Heijmen, Robin H. ;
Moll, Frans L. ;
van Herwaarden, Joost A. ;
Trimarchi, Santi .
PLOS ONE, 2016, 11 (05)
[3]   Fenestrated and branched endovascular aortic repair for chronic type B aortic dissection with thoracoabdominal aneurysms [J].
Kitagawa, Atsushi ;
Greenberg, Roy K. ;
Eagleton, Matthew J. ;
Mastracci, Tara M. ;
Roselli, Eric E. .
JOURNAL OF VASCULAR SURGERY, 2013, 58 (03) :625-634
[4]   Endovascular Aortic Repair for Progressive Chronic Thoracoabdominal Aortic Dissections [J].
Mantese, Vito ;
Kunhammed, Shameem .
ANNALS OF VASCULAR SURGERY, 2017, 42 :301.e7-301.e12
[5]   Endovascular management of chronic post-dissection aneurysms [J].
Oikonomou, Kyriakos ;
Katsargyris, Athanasios ;
Ritter, Wolfgang ;
Spinelli, Domenico ;
Seto, Yuki ;
Verhoeven, Eric L. .
ANNALS OF CARDIOTHORACIC SURGERY, 2014, 3 (03) :307-313
[6]  
Sobocinski J, 2014, J CARDIOVASC SURG, V55, P505
[7]   Early Experience of Endovascular Repair of Post-dissection Aneurysms Involving the Thoraco-abdominal Aorta and the Arch [J].
Spear, R. ;
Sobocinski, J. ;
Settembre, N. ;
Tyrrell, M. R. ;
Malikov, S. ;
Maurel, B. ;
Haulon, S. .
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2016, 51 (04) :488-497
[8]   Complex endovascular repair of postdissection arch and thoracoabdominal aneurysms [J].
Spear, Rafaelle ;
Hertault, Adrien ;
Van Calster, Katrien ;
Settembre, Nicla ;
Delloye, Matthieu ;
Azzaoui, Richard ;
Sobocinski, Jonathan ;
Fabre, Dominique ;
Tyrrell, Mark ;
Haulon, Stephan .
JOURNAL OF VASCULAR SURGERY, 2018, 67 (03) :685-692
[9]   Successful Recanalization of a Longstanding Right Common Iliac Artery Occlusion with a Radiofrequency Guidewire [J].
Tapping, C. R. ;
Uri, I. F. ;
Dixon, S. ;
Bratby, M. J. ;
Anthony, S. ;
Uberoi, R. .
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2012, 35 (05) :1221-1225
[10]   Radiofrequency In Situ Fenestration for Aortic Arch Vessels During Thoracic Endovascular Repair [J].
Tse, Leonard W. ;
Lindsay, Thomas F. ;
Roche-Nagle, Graham ;
Oreopoulos, George D. ;
Ouzounian, Maral ;
Tan, Kong Teng .
JOURNAL OF ENDOVASCULAR THERAPY, 2015, 22 (01) :116-121