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VH05. Novel Technique for Ablation of Persistent Retrograde Perfusion of False Lumen in Chronic Aortic Dissection
JOURNAL OF VASCULAR SURGERY Volume 63, Number 6S
Abstracts 231S
VH: “How I Do It” Video Session
VH04 VH04.
VH01.
Carotid-Subclavian Transposition and CarotidCarotid Bypass to Facilitate TEVAR Emily Spangler, MD, Mark F. Fillinger, MD. DartmouthHitchcock Medical Center, Lebanon, NH
Eversion Femoral Artery Endarterectomy and Endovascular Revascularization for Critical Limb Ischemia Gianluca Faggioli, MD, Liborio Ferrante, MD, Giuseppe Indelicato, MD, Rodolfo Pini, MD, Matteo Longhi, MD, Andrea Vacirca, MD, Mauro Gargiulo, MD, PhD, Andrea Stella, MD. University of Bologna, Bologna, Italy Background: This video shows the eversion endarterectomy technique for revascularization of the femoral bifurcation in conjunction with endovascular procedures and minor foot amputation. Author Disclosures: G. Faggioli: Nothing to disclose; L. Ferrante: Nothing to disclose; M. Gargiulo: Nothing to disclose; G. Indelicato: Nothing to disclose; M. Longhi: Nothing to disclose; R. Pini: Nothing to disclose; A. Stella: Nothing to disclose; A. Vacirca: Nothing to disclose.
VH02. VH02 Celiac Artery Decompression With Supraceliac Aorta-to-Celiac Bypass Charles A. West Jr, MD, FACS1, Joseph L. Mills, MD2. 1 Baylor St. Luke’s Medical Center, Houston, Tex; 2 Baylor College of Medicine, Houston, Tex Background: This video illustrates the technique of supraceliac aortic exposure via an upper midline incision. The steps at division of the median arcuate ligament are described followed by the sequence of step for supraceliac aortoceliac bypass. Author Disclosures: J. L. Mills: Nothing to disclose; C. A. West: Nothing to disclose.
Background: A 78-year-old man with oxygen-dependent COPD with a 6.8-cm saccular thoracic aneurysm involving the left subclavian artery is presented. Video of his two-stage repair demonstrates portions of the left carotid-subclavian transposition and retropharyngeal rightto-left carotid-carotid bypass used to facilitate debranching for TEVAR. Author Disclosures: M. F. Fillinger: Endologix and W. L. Gore: consulting fees (eg, advisory boards); E. Spangler: Nothing to disclose.
VH05 VH05. Novel Technique for Ablation of Persistent Retrograde Perfusion of False Lumen in Chronic Aortic Dissection April L. Rodriguez, MD, Benjamin W. Starnes, MD, Niten Singh, MD, MS. University of Washington, Seattle, Wash Background: The following video demonstrates a novel technique to address persistent retrograde false lumen perfusion after TEVAR in chronic aortic dissections with aneurysmal degeneration. This technique uses a reversed Cook Renu device and ZIP plug as well as Aptus Endoanchors to obliterate the false lumen. Of note, there is a higher-quality video available for presentation; however, this version was not submitted due to size constraints. Author Disclosures: A. L. Rodriguez: Nothing to disclose; N. Singh: Nothing to disclose; B. W. Starnes: Aortica: intellectual property/patents, ownership interest.
VH06 VH06. VH03. VH03 Fenestrated-Branched Endovascular Thoracoabdominal Aortic Aneurysm Repair for Chronic Dissections Aaron C. Baker, MD, MS, Gustavo S. Oderich, MD, Jan Hofer, RN, Mauricio Ribeiro, MD, PhD. Mayo Clinic, Rochester, Minn Background: This case video highlights the treatment of an extent II thoracoabdominal aortic aneurysm secondary to a chronic type B dissection using a patient-specific, manufactured four-vessel fenestrated-branched endograft under a physician-sponsored investigational device exemption study. The case video entails preoperative planning, the endovascular execution, and outcome. A specific challenge demonstrated in this case is the technique used to cross the chronic dissection flap to access the isolated right renal artery, which was perfused by the false lumen. Author Disclosures: A. C. Baker: Nothing to disclose; J. Hofer: Nothing to disclose; G. S. Oderich: Nothing to disclose; M. Ribeiro: Nothing to disclose.
The Knickerbocker Technique for Endovascular Exclusion of False Lumen in Chronic Type B Aortic Dissection Fabio Verzini, MD, PhD1, Diletta Loschi, MD1, Gioele Simonte, MD1, Luca Farchioni, MD1, Gianbattista Parlani, MD2, yPaola De Rango, MD, PhD2. 1University of Perugia, Perugia, Italy; 2Azienda Ospedaliera di Perugia, Perugia, Italy Background: Simple endovascular coverage of primary entry tear in chronic type B aortic dissection (CTBAD) is often unsuccessful in promoting false lumen (FL) thrombosis and aortic remodeling as it occurs with acute dissections. Aim of this video is to illustrate technical solutions used for effective endovascular treatment in a case of a residual CTBAD after acute type A aortic dissection. Critical issues addressed are (1) creation of a suitable landing zone for endografting at the time of the original open surgery for the acute Type A dissection, with the use of a branched open graft for revascularization and proximal rerouting of the innominate and the left common carotid arteries, (2) left subclavian (that presented chronic dissection involving
Abstracts 231S
VH: “How I Do It” Video Session
VH04 VH04.
VH01.
Carotid-Subclavian Transposition and CarotidCarotid Bypass to Facilitate TEVAR Emily Spangler, MD, Mark F. Fillinger, MD. DartmouthHitchcock Medical Center, Lebanon, NH
Eversion Femoral Artery Endarterectomy and Endovascular Revascularization for Critical Limb Ischemia Gianluca Faggioli, MD, Liborio Ferrante, MD, Giuseppe Indelicato, MD, Rodolfo Pini, MD, Matteo Longhi, MD, Andrea Vacirca, MD, Mauro Gargiulo, MD, PhD, Andrea Stella, MD. University of Bologna, Bologna, Italy Background: This video shows the eversion endarterectomy technique for revascularization of the femoral bifurcation in conjunction with endovascular procedures and minor foot amputation. Author Disclosures: G. Faggioli: Nothing to disclose; L. Ferrante: Nothing to disclose; M. Gargiulo: Nothing to disclose; G. Indelicato: Nothing to disclose; M. Longhi: Nothing to disclose; R. Pini: Nothing to disclose; A. Stella: Nothing to disclose; A. Vacirca: Nothing to disclose.
VH02. VH02 Celiac Artery Decompression With Supraceliac Aorta-to-Celiac Bypass Charles A. West Jr, MD, FACS1, Joseph L. Mills, MD2. 1 Baylor St. Luke’s Medical Center, Houston, Tex; 2 Baylor College of Medicine, Houston, Tex Background: This video illustrates the technique of supraceliac aortic exposure via an upper midline incision. The steps at division of the median arcuate ligament are described followed by the sequence of step for supraceliac aortoceliac bypass. Author Disclosures: J. L. Mills: Nothing to disclose; C. A. West: Nothing to disclose.
Background: A 78-year-old man with oxygen-dependent COPD with a 6.8-cm saccular thoracic aneurysm involving the left subclavian artery is presented. Video of his two-stage repair demonstrates portions of the left carotid-subclavian transposition and retropharyngeal rightto-left carotid-carotid bypass used to facilitate debranching for TEVAR. Author Disclosures: M. F. Fillinger: Endologix and W. L. Gore: consulting fees (eg, advisory boards); E. Spangler: Nothing to disclose.
VH05 VH05. Novel Technique for Ablation of Persistent Retrograde Perfusion of False Lumen in Chronic Aortic Dissection April L. Rodriguez, MD, Benjamin W. Starnes, MD, Niten Singh, MD, MS. University of Washington, Seattle, Wash Background: The following video demonstrates a novel technique to address persistent retrograde false lumen perfusion after TEVAR in chronic aortic dissections with aneurysmal degeneration. This technique uses a reversed Cook Renu device and ZIP plug as well as Aptus Endoanchors to obliterate the false lumen. Of note, there is a higher-quality video available for presentation; however, this version was not submitted due to size constraints. Author Disclosures: A. L. Rodriguez: Nothing to disclose; N. Singh: Nothing to disclose; B. W. Starnes: Aortica: intellectual property/patents, ownership interest.
VH06 VH06. VH03. VH03 Fenestrated-Branched Endovascular Thoracoabdominal Aortic Aneurysm Repair for Chronic Dissections Aaron C. Baker, MD, MS, Gustavo S. Oderich, MD, Jan Hofer, RN, Mauricio Ribeiro, MD, PhD. Mayo Clinic, Rochester, Minn Background: This case video highlights the treatment of an extent II thoracoabdominal aortic aneurysm secondary to a chronic type B dissection using a patient-specific, manufactured four-vessel fenestrated-branched endograft under a physician-sponsored investigational device exemption study. The case video entails preoperative planning, the endovascular execution, and outcome. A specific challenge demonstrated in this case is the technique used to cross the chronic dissection flap to access the isolated right renal artery, which was perfused by the false lumen. Author Disclosures: A. C. Baker: Nothing to disclose; J. Hofer: Nothing to disclose; G. S. Oderich: Nothing to disclose; M. Ribeiro: Nothing to disclose.
The Knickerbocker Technique for Endovascular Exclusion of False Lumen in Chronic Type B Aortic Dissection Fabio Verzini, MD, PhD1, Diletta Loschi, MD1, Gioele Simonte, MD1, Luca Farchioni, MD1, Gianbattista Parlani, MD2, yPaola De Rango, MD, PhD2. 1University of Perugia, Perugia, Italy; 2Azienda Ospedaliera di Perugia, Perugia, Italy Background: Simple endovascular coverage of primary entry tear in chronic type B aortic dissection (CTBAD) is often unsuccessful in promoting false lumen (FL) thrombosis and aortic remodeling as it occurs with acute dissections. Aim of this video is to illustrate technical solutions used for effective endovascular treatment in a case of a residual CTBAD after acute type A aortic dissection. Critical issues addressed are (1) creation of a suitable landing zone for endografting at the time of the original open surgery for the acute Type A dissection, with the use of a branched open graft for revascularization and proximal rerouting of the innominate and the left common carotid arteries, (2) left subclavian (that presented chronic dissection involving