“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 journalArticle

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 languageEnglish (US)
Pages (from-to)150-154.e2
JournalJournal of Vascular and Interventional Radiology
Volume31
Issue number1
DOIs
StatePublished - Jan 2020

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Tunica Intima
Cheese
Dissection
Thorax
Endoleak
Renal Artery
Stents
Aneurysm

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

“Cheese Wire” Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection. / Iwakoshi, Shinichi; Watkins, Claire A.; Ogawa, Yukihisa; Fischbein, Michael; Lee, Anson; Lee, Jason T.; Hiesinger, William; Dake, Michael D.

In: Journal of Vascular and Interventional Radiology, Vol. 31, No. 1, 01.2020, p. 150-154.e2.

Research output: Contribution to journalArticle

Iwakoshi, Shinichi ; Watkins, Claire A. ; Ogawa, Yukihisa ; Fischbein, Michael ; Lee, Anson ; Lee, Jason T. ; Hiesinger, William ; Dake, Michael D. / “Cheese Wire” Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection. In: Journal of Vascular and Interventional Radiology. 2020 ; Vol. 31, No. 1. pp. 150-154.e2.
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