Novel technique to fenestrate an aortic dissection flap using electrocautery

Authors

Loay S. Kabbani, Henry Ford HealthFollow
Marvin H. Eng, Henry Ford HealthFollow
Kevin Onofrey, Henry Ford HealthFollow
Mitchell R Weaver, Henry Ford HealthFollow
Timothy Nypaver, Henry Ford HealthFollow

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