“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

17 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

Access to Document

10.1016/j.jvir.2019.06.004

Cite this

@article{6b3f18ae5b7b4c5b843f43c562b13259,

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.\}",

note = "Publisher Copyright: {\textcopyright} 2019 SIR",

year = "2020",

month = jan,

doi = "10.1016/j.jvir.2019.06.004",

language = "English (US)",

volume = "31",

pages = "150--154.e2",

journal = "Journal of Vascular and Interventional Radiology",

issn = "1051-0443",

publisher = "Elsevier Inc.",

number = "1",

}

TY - JOUR

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.

PY - 2020/1

Y1 - 2020/1

N2 - 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.

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.

UR - https://www.scopus.com/pages/publications/85072251966

UR - https://www.scopus.com/pages/publications/85072251966#tab=citedBy

U2 - 10.1016/j.jvir.2019.06.004

DO - 10.1016/j.jvir.2019.06.004

M3 - Article

C2 - 31542270

AN - SCOPUS:85072251966

SN - 1051-0443

VL - 31

SP - 150-154.e2

JO - Journal of Vascular and Interventional Radiology

JF - Journal of Vascular and Interventional Radiology

IS - 1

ER -

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

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this