Endovascular treatment after the fenestrated frozen elephant trunk technique

Okugi, Satoshi; Koide, Masaaki; Kunii, Yoshifumi; Tateishi, Minori; Shimbori, Risa; Moriuchi, Hiroki; Hayashi, Masataka

doi:10.1002/ccr3.6595

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Okugi et al detailed their experience employing the fenestrated FET technique in a patient with an isolated left vertebral artery. 4) However, a type 2 endoleak originating from the left vertebral artery and a type 1a endoleak stemming from the fenestration were identified. Consequently, additional TEVAR and coil embolization of the left vertebral artery were performed.…”

Section: Discussionmentioning

confidence: 97%

Type 1a Endoleak after Fenestrated Frozen Elephant Trunk Technique

Yamane,

Furukawa

2024

Annals of Vascular Diseases

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The patient was a 48-year-old man who had undergone fenestrated frozen elephant trunk (FET) technique for acute type A aortic dissection. Postoperative enhanced computed tomography (CT) imaging revealed a type 1a endoleak from the fenestration. Nevertheless, the stented portion of the FET exhibited circular expansion. However, 2 months after surgery, enhanced CT imaging revealed the flattening of the FET due to the persistent endoleak and we performed an urgent zone 2 thoracic endovascular aortic repair (TEVAR). When type 1a endoleak from the fenestration is observed, the FET can be flattened, as in this patient, additional intervention should be considered.

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Section: Discussionmentioning

confidence: 97%

Type 1a Endoleak after Fenestrated Frozen Elephant Trunk Technique

Yamane,

Furukawa

2024

Annals of Vascular Diseases

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“…Although we chose to the re-sternotomy due to the young age of the patient, endovascular repair is one option. A previous case report described successful coil embolization of the false lumen in the aortic arch [ 4 ]. Thoracic endovascular aortic repair (i.e.…”

Section: Discussionmentioning

confidence: 99%

Endoleak after use of the fenestrated frozen elephant trunk technique to treat acute type A aortic dissection

Kanemura,

Nakahara,

Fukushima

et al. 2024

Journal of Surgical Case Reports

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Several studies have indicated that the fenestrated frozen elephant trunk (FET) technique enhances early outcomes in cases of acute aortic dissection, although long-term outcomes remain unclear. A case involving a 62-year-old male who experienced endoleak from a fenestration site following total arch replacement using the fenestrated FET technique for a DeBakey type I aortic dissection is reported. The patient underwent successful reoperation involving total arch replacement and reinsertion of the FET. Postoperatively, there was an absence of endoleak from the fenestration, and a noteworthy reduction in the diameter of the aortic arch was observed. It is imperative to recognize that endoleak from a fenestration poses a risk for prompt aortic expansion, thus necessitating vigilant postoperative monitoring. Furthermore, when adopting fenestrated FET, it is crucial to ensure firm fixation around the fenestration to prevent endoleak.

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Endovascular treatment after the fenestrated frozen elephant trunk technique

Cited by 2 publications

References 6 publications

Type 1a Endoleak after Fenestrated Frozen Elephant Trunk Technique

Type 1a Endoleak after Fenestrated Frozen Elephant Trunk Technique

Endoleak after use of the fenestrated frozen elephant trunk technique to treat acute type A aortic dissection

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