Electrocautery Wire Fenestration Prior to Thoracic Endovascular Aortic Repair to Optimize the Distal Landing Zone in Thoracic Aortic Dissections

Authors

Nicola Habash, Thomas Jefferson UniversityFollow
Gaurang Joshi, Thomas Jefferson UniversityFollow
mohammed Ali, Thomas Jefferson UniversityFollow
Michael Nooromid, Thomas Jefferson UniversityFollow
Babak Abai, Thomas Jefferson UniversityFollow

Document Type

Report

Publication Date

7-9-2024

Comments

This article is the author's final published version in Annals of Vascular Surgery - Brief Reports and Innovations, Volume 4, Issue 3, 2024, Article number 100317.

The published version is available at https://doi.org.10.1016/j.avsurg.2024.100317.

Copyright © 2024 The Author(s)

Abstract

Successful thoracic endovascular aortic repair (TEVAR) for type B aortic dissections (TBAD) relies on securing the stentgraft’s distal landing zone to prevent retrograde flow and false lumen pressurization. We describe a 60-year- old male with a TBAD undergoing TEVAR with electrocautery-wire fenestration of the dissection septum, providing a controlled method to enhance the distal landing zone for graft placement. Postoperatively, the patient experienced spinal cord ischemia, resolving with the placement of a lumbar drain and increasing mean arterial pressures. Follow-up imaging demonstrated a well-sealed repair without endoleaks. This case highlights the importance of surgical technique selection and postoperative monitoring for complications.

Recommended Citation

Habash, Nicola; Joshi, Gaurang; Ali, mohammed; Nooromid, Michael; and Abai, Babak, "Electrocautery Wire Fenestration Prior to Thoracic Endovascular Aortic Repair to Optimize the Distal Landing Zone in Thoracic Aortic Dissections" (2024). Department of Surgery Faculty Papers. Paper 269.
https://jdc.jefferson.edu/surgeryfp/269

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.

Language

English