In situ fenestration of a frozen elephant trunk prosthesis to recanalize the left subclavian artery

IF 0.9 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2026-02-01 Epub Date: 2025-11-21 DOI:10.1016/j.jvscit.2025.102059

George Apostolidis MD, MSc , Petroula Nana PhD , Daour Yousef al Sarhan MD , Lennart Bax MD , Tilo Kölbel PhD , Giuseppe Panuccio PhD

引用次数: 0

Abstract

Maintaining left subclavian artery (LSA) patency is essential for preventing spinal cord ischemia before extensive aortic coverage. We present a case of in situ fenestration on a zone 2 frozen elephant trunk graft to restore the native LSA perfusion after a prior LSA bypass occlusion. Fenestration was performed using the electrified wire technique, followed by balloon-expandable covered stent implantation. The procedure was completed with distal thoracic extensions. The postoperative imaging confirmed LSA patency. This approach offers a feasible, reproducible solution for selected patients requiring LSA recanalization after frozen elephant trunk.

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冷冻象鼻假体原位开窗再通左锁骨下动脉

维持左锁骨下动脉（LSA）通畅对于防止大面积主动脉覆盖前脊髓缺血至关重要。我们提出了一个在2区冷冻象鼻移植上原位开窗的病例，以恢复先前LSA旁路闭塞后的原始LSA灌注。采用电丝技术开窗，随后进行球囊可膨胀覆盖支架植入。手术完成后，胸腔远端伸展。术后影像学证实LSA通畅。该方法为需要冷冻象鼻后再通LSA的患者提供了一种可行的、可重复的解决方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.