Title
Novel technique to fenestrate an aortic dissection flap using electrocautery
Recommended Citation
Kabbani L, Eng M, Onofrey K, Weaver M, and Nypaver T. Novel technique to fenestrate an aortic dissection flap using electrocautery. J Vasc Surg Cases Innov Tech 2023; 9(2).
Document Type
Conference Proceeding
Publication Date
6-1-2023
Publication Title
J Vasc Surg Cases Innov Tech
Abstract
Chronic distal thoracic dissections treated with thoracic endovascular repair are prone to type Ib false lumen perfusion. When the supraceliac aorta is of normal caliber, fenestration of the dissection flap proximal to the visceral vessels creates a seal zone for the thoracic stent graft and eliminates the type Ib false lumen perfusion. We describe a novel way of crossing the septum using electrocautery delivered through a wire tip then fenestrating the septum using electrocautery delivered over a 1-mm area of uninsulated wire to cut the septum. We believe the use of electrocautery creates a controlled and deliberate aortic fenestration during endovascular repair of a distal thoracic dissections.
Volume
9
Issue
2
