Advertisement

CardioVascular and Interventional Radiology

, Volume 35, Issue 1, pp 176–179 | Cite as

JAG Tearing Technique with Radiofrequency Guide Wire for Aortic Fenestration in Thoracic Endovascular Aneurysm Repair

  • Carmelo Ricci
  • Claudio CeccheriniEmail author
  • Sara Leonini
  • Marco Cini
  • Francesco Vigni
  • Eugenio Neri
  • Enrico Tucci
  • Antonio Benvenuti
  • Giulio Tommasino
  • Carlo Sassi
Technical Note

Abstract

An innovative approach, the JAG tearing technique, was performed during thoracic endovascular aneurysm repair in a patient with previous surgical replacement of the ascending aorta with a residual uncomplicated type B aortic dissection who developed an aneurysm of the descending thoracic aorta with its lumen divided in two parts by an intimal flap. The proximal landing zone was suitable to place a thoracic stent graft. The distal landing zone was created by cutting the intimal flap in the distal third of the descending thoracic aorta with a radiofrequency guide wire and intravascular ultrasound catheter.

Keywords

Aortic dissection type B Aortic fenestration Intimal flap IVUS RF Thoracic endovascular aneurysm repair 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Beregi JP, Prat A, Gaxotte V et al (2000) Endovascular treatment for dissection of the descending aorta. Lancet 356:482–483PubMedCrossRefGoogle Scholar
  2. 2.
    Gaxotte V, Cocheteux B, Haulon S et al (2003) Relationship of intimal flap position to endovascular treatment of malperfusion syndromes in aortic dissection. J Endovasc Ther 10:719–727PubMedCrossRefGoogle Scholar
  3. 3.
    Beregi JP, Haulon S, Otal P et al (2003) Endovascular treatment of acute complications associated with aortic dissection: midterm results from a multicenter study. J Endovasc Ther 10:486–493PubMedCrossRefGoogle Scholar
  4. 4.
    Elefteriades JA, Hammond GL, Gusberg RJ et al (1990) Fenestration revisited. A safe and effective procedure for descending aortic dissection. Arch Surg 125:786–790PubMedCrossRefGoogle Scholar
  5. 5.
    Shimazaki T, Ishimaru S, Kawaguchi S et al (2001) Stent-graft entry closure and balloon fenestration for a case of aortic dissection accompanied by organ malperfusion. J Thorac Cardiovasc Surg 121:1216–1218PubMedCrossRefGoogle Scholar
  6. 6.
    Panneton JM, Teh SH, Cherry KJ et al (2000) Aortic fenestration for acute or chronic aortic dissection: an uncommon but effective procedure. J Vasc Surg 32:711–721PubMedCrossRefGoogle Scholar
  7. 7.
    Pamler RS, Kotsis T, Görich J et al (2002) Complications after endovascular repair of type B aortic dissection. J Endovasc Ther 9:822–828PubMedCrossRefGoogle Scholar
  8. 8.
    Shim WH, Koo BK, Yoon Y et al (2002) Treatment of thoracic aortic dissection with stent-grafts: midterm results. J Endovasc Ther 9:817–821PubMedCrossRefGoogle Scholar
  9. 9.
    Giudice R, Frezzotti A, Scoccianti M (2002) Intravascular ultrasound-guided stenting for chronic abdominal aortic dissection. J Endovasc Ther 9:926–931PubMedCrossRefGoogle Scholar
  10. 10.
    Chavan A, Hausmann D, Dresler C et al (1997) Intravascular ultrasound-guided percutaneous fenestration of the intimal flap in the dissected aorta. Circulation 96:2124–2127PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2011

Authors and Affiliations

  • Carmelo Ricci
    • 1
  • Claudio Ceccherini
    • 2
    Email author
  • Sara Leonini
    • 2
  • Marco Cini
    • 1
  • Francesco Vigni
    • 1
  • Eugenio Neri
    • 3
  • Enrico Tucci
    • 3
  • Antonio Benvenuti
    • 3
  • Giulio Tommasino
    • 3
  • Carlo Sassi
    • 3
  1. 1.Radiologia InterventisticaAzienda Ospedaliera Universitaria Senese, Policlinico Santa Maria alle ScotteSienaItaly
  2. 2.Radiologia Universitaria, Azienda Ospedaliera Universitaria Senese, Policlinico Santa Maria alle ScotteSienaItaly
  3. 3.Chirurgia dell’Aorta ToracicaAzienda Ospedaliera Universitaria Senese, Policlinico Santa Maria alle ScotteSienaItaly

Personalised recommendations