Left subclavian artery bridging stent fracture after in-situ laser fenestration during emergent thoracic endovascular aortic repair

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-06-05 DOI:10.1016/j.jvscit.2024.101550

Austėja Račytė MD , Luis H. Arzola MD , Anders Wanhainen MD, PhD , Giuseppe Asciutto MD, PhD , Marek Kuzniar MD, PhD , Kevin Mani MD, PhD

{"title":"Left subclavian artery bridging stent fracture after in-situ laser fenestration during emergent thoracic endovascular aortic repair","authors":"Austėja Račytė MD , Luis H. Arzola MD , Anders Wanhainen MD, PhD , Giuseppe Asciutto MD, PhD , Marek Kuzniar MD, PhD , Kevin Mani MD, PhD","doi":"10.1016/j.jvscit.2024.101550","DOIUrl":null,"url":null,"abstract":"<div><p>In-situ laser fenestration (ISLF) has been described as a viable option for urgent thoracic aortic aneurysm cases involving supra-aortic vessels. There are, however, limited data on its durability. Here, we present a case of a 70-year-old man with a symptomatic 13-cm thoracic aortic aneurysm extending proximally to the origin of the left subclavian artery (LSA). Emergent thoracic endovascular aortic repair with chimney stenting of the left common carotid artery and ISLF for the LSA was successfully performed. During the follow-up, a compression of the bridging stent to the LSA progressed to a stent fracture needing realignment. Despite ISLF’s reported technical success, this case highlights the risk of bridging stent complications, emphasizing the need for a close follow-up.</p></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468428724001345/pdfft?md5=e62eb06ac616c5258a23d3567c2b5cdd&pid=1-s2.0-S2468428724001345-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468428724001345","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

In-situ laser fenestration (ISLF) has been described as a viable option for urgent thoracic aortic aneurysm cases involving supra-aortic vessels. There are, however, limited data on its durability. Here, we present a case of a 70-year-old man with a symptomatic 13-cm thoracic aortic aneurysm extending proximally to the origin of the left subclavian artery (LSA). Emergent thoracic endovascular aortic repair with chimney stenting of the left common carotid artery and ISLF for the LSA was successfully performed. During the follow-up, a compression of the bridging stent to the LSA progressed to a stent fracture needing realignment. Despite ISLF’s reported technical success, this case highlights the risk of bridging stent complications, emphasizing the need for a close follow-up.

查看原文本刊更多论文

急诊TEVAR手术中原位激光开孔后左锁骨下动脉桥接支架断裂

对于涉及主动脉上血管的胸主动脉瘤急诊病例，原位激光瓣膜置入术（ISLF）被认为是一种可行的选择。然而，有关其耐用性的数据却很有限。在此，我们介绍了一例 70 岁男性病例，他患有症状性 13 厘米胸主动脉瘤，向左锁骨下动脉（LSA）起源近端延伸。手术成功实施了胸腔内主动脉血管修补术、左侧颈总动脉烟囱支架植入术和 LSA 的 ISLF 术。在随访过程中，桥接支架对 LSA 的压迫发展为支架断裂，需要重新调整。尽管据报道 ISLF 在技术上取得了成功，但这一病例凸显了桥接支架并发症的风险，强调了密切随访的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.