“Cheese Wire” Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection

Shinichi Iwakoshi; Claire A. Watkins; Yukihisa Ogawa; Michael Fischbein; Anson Lee; Jason T. Lee; William Hiesinger; Michael D. Dake

doi:10.1016/j.jvir.2019.06.004

“Cheese Wire” Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection

Shinichi Iwakoshi, Claire A. Watkins, Yukihisa Ogawa, Michael Fischbein, Anson Lee, Jason T. Lee, William Hiesinger, Michael D. Dake

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Thoracic endovascular aortic repair (TEVAR) for aneurysmal chronic dissection is often complicated by retrograde filling of the false lumen and dissected distal landing zone. A “cheese wire”-style fenestration of the dissection intimal flap can create a landing zone facilitating TEVAR. This technique successfully aided TEVAR in 3 patients with an average age of 57.3 years. Complications included type III endoleak requiring relining and renal artery occlusion requiring stent placement. Average duration of clinical follow-up was 19 ± 4 months. Imaging follow-up was 8 ± 10 months. All patients have survived for more than 1 year without aneurysm enlargement.

Original language	English (US)
Pages (from-to)	150-154.e2
Journal	Journal of Vascular and Interventional Radiology
Volume	31
Issue number	1
DOIs	https://doi.org/10.1016/j.jvir.2019.06.004
State	Published - Jan 2020

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1016/j.jvir.2019.06.004

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title = "“Cheese Wire” Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection",

abstract = "Thoracic endovascular aortic repair (TEVAR) for aneurysmal chronic dissection is often complicated by retrograde filling of the false lumen and dissected distal landing zone. A “cheese wire”-style fenestration of the dissection intimal flap can create a landing zone facilitating TEVAR. This technique successfully aided TEVAR in 3 patients with an average age of 57.3 years. Complications included type III endoleak requiring relining and renal artery occlusion requiring stent placement. Average duration of clinical follow-up was 19 ± 4 months. Imaging follow-up was 8 ± 10 months. All patients have survived for more than 1 year without aneurysm enlargement.",

author = "Shinichi Iwakoshi and Watkins, {Claire A.} and Yukihisa Ogawa and Michael Fischbein and Anson Lee and Lee, {Jason T.} and William Hiesinger and Dake, {Michael D.}",

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T1 - “Cheese Wire” Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection

AU - Iwakoshi, Shinichi

AU - Watkins, Claire A.

AU - Ogawa, Yukihisa

AU - Fischbein, Michael

AU - Lee, Anson

AU - Lee, Jason T.

AU - Hiesinger, William

AU - Dake, Michael D.

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AB - Thoracic endovascular aortic repair (TEVAR) for aneurysmal chronic dissection is often complicated by retrograde filling of the false lumen and dissected distal landing zone. A “cheese wire”-style fenestration of the dissection intimal flap can create a landing zone facilitating TEVAR. This technique successfully aided TEVAR in 3 patients with an average age of 57.3 years. Complications included type III endoleak requiring relining and renal artery occlusion requiring stent placement. Average duration of clinical follow-up was 19 ± 4 months. Imaging follow-up was 8 ± 10 months. All patients have survived for more than 1 year without aneurysm enlargement.

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“Cheese Wire” Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection

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