Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms
Aortic dissection often results in chronic aneurysmal degeneration due to progressive false lumen expansion. Thoracic endovascular aortic repair and other techniques of vessel incorporation such as fenestrated-branched or parallel grafts have been increasingly used to treat chronic postdissection an...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723003118 |
| _version_ | 1797248262191710208 |
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| author | Aidin Baghbani-Oskouei, MD Safa Savadi, MD Thomas Mesnard, MD Titia Sulzer, BSc Aleem K. Mirza, MD Shadman Baig, MD Carlos H. Timaran, MD Gustavo S. Oderich, MD |
| author_facet | Aidin Baghbani-Oskouei, MD Safa Savadi, MD Thomas Mesnard, MD Titia Sulzer, BSc Aleem K. Mirza, MD Shadman Baig, MD Carlos H. Timaran, MD Gustavo S. Oderich, MD |
| author_sort | Aidin Baghbani-Oskouei, MD |
| collection | DOAJ |
| description | Aortic dissection often results in chronic aneurysmal degeneration due to progressive false lumen expansion. Thoracic endovascular aortic repair and other techniques of vessel incorporation such as fenestrated-branched or parallel grafts have been increasingly used to treat chronic postdissection aneurysms. True lumen compression or a vessel origin from the false lumen can present considerable technical challenges. In these cases, the limited true lumen space can result in inadequate stent graft expansion or restrict the ability to reposition the device or manipulate catheters. Reentrance techniques can be used selectively to assist with target vessel catheterization. Transcatheter electrosurgical septotomy is a novel technique that has evolved from the cardiology experience with transseptal or transcatheter aortic valve procedures. This technique has been applied in select patients with chronic dissection to create a proximal or distal landing zone, disrupt the septum in patients with an excessively compressed true lumen, or connect the true and false lumen in patients with vessels that have separate origins. In the present report, we summarize the indications and technical pitfalls of transcatheter electrosurgical septotomy in patients treated by endovascular repair for chronic postdissection aortic aneurysms. |
| first_indexed | 2024-03-08T12:47:06Z |
| format | Article |
| id | doaj.art-25ac741d521a4db99ee8a12c9b4de6cf |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-24T20:11:47Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-25ac741d521a4db99ee8a12c9b4de6cf2024-03-23T06:25:34ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101402Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysmsAidin Baghbani-Oskouei, MD0Safa Savadi, MD1Thomas Mesnard, MD2Titia Sulzer, BSc3Aleem K. Mirza, MD4Shadman Baig, MD5Carlos H. Timaran, MD6Gustavo S. Oderich, MD7Advanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TXAdvanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TXAdvanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TXAdvanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TXAdvanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TXDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TXDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TXAdvanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX; Correspondence: Gustavo S. Oderich, MD, Advanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center at Houston, McGovern Medical School, Memorial Hermann Medical Plaza, 6400 Fannin St, Ste 2850, Houston, TX 77030Aortic dissection often results in chronic aneurysmal degeneration due to progressive false lumen expansion. Thoracic endovascular aortic repair and other techniques of vessel incorporation such as fenestrated-branched or parallel grafts have been increasingly used to treat chronic postdissection aneurysms. True lumen compression or a vessel origin from the false lumen can present considerable technical challenges. In these cases, the limited true lumen space can result in inadequate stent graft expansion or restrict the ability to reposition the device or manipulate catheters. Reentrance techniques can be used selectively to assist with target vessel catheterization. Transcatheter electrosurgical septotomy is a novel technique that has evolved from the cardiology experience with transseptal or transcatheter aortic valve procedures. This technique has been applied in select patients with chronic dissection to create a proximal or distal landing zone, disrupt the septum in patients with an excessively compressed true lumen, or connect the true and false lumen in patients with vessels that have separate origins. In the present report, we summarize the indications and technical pitfalls of transcatheter electrosurgical septotomy in patients treated by endovascular repair for chronic postdissection aortic aneurysms.http://www.sciencedirect.com/science/article/pii/S2468428723003118Aortic aneurysmDissectionEndovascular aortic repairFenestrationTranscatheter electrosurgical septotomy |
| spellingShingle | Aidin Baghbani-Oskouei, MD Safa Savadi, MD Thomas Mesnard, MD Titia Sulzer, BSc Aleem K. Mirza, MD Shadman Baig, MD Carlos H. Timaran, MD Gustavo S. Oderich, MD Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms Journal of Vascular Surgery Cases and Innovative Techniques Aortic aneurysm Dissection Endovascular aortic repair Fenestration Transcatheter electrosurgical septotomy |
| title | Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms |
| title_full | Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms |
| title_fullStr | Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms |
| title_full_unstemmed | Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms |
| title_short | Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms |
| title_sort | transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms |
| topic | Aortic aneurysm Dissection Endovascular aortic repair Fenestration Transcatheter electrosurgical septotomy |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723003118 |
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