DiBartolomeo Alexander D, Miranda Elizabeth, Han Sukgu M, Magee Gregory A
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck Medical Center of University of Southern California, Los Angeles, CA.
J Vasc Surg Cases Innov Tech. 2023 Sep 4;10(3):101312. doi: 10.1016/j.jvscit.2023.101312. eCollection 2024 Jun.
Fenestration of the septum between the true and false lumen might be necessary after aortic dissection. We report the technical aspects of in situ laser fenestration of the aortic dissection septum. Two illustrative cases are provided: a 56-year-old man with false lumen deployment of a frozen elephant trunk graft, and a 67-year-old man who underwent fenestrated endovascular aortic repair with a target branch vessel off the false lumen. In both cases, the septum was crossed using in situ laser fenestration. This technique is a precise option to enable passage between true and false lumens during endovascular repair of an aortic dissection.
主动脉夹层分离后，可能需要对真腔和假腔之间的隔膜进行开窗。我们报告主动脉夹层隔膜原位激光开窗的技术要点。提供两个说明性病例：一例为56岁男性，其冷冻象鼻移植物植入假腔；另一例为67岁男性，接受带分支血管的开窗覆膜支架植入术，分支血管来自假腔。在这两个病例中，均采用原位激光开窗穿过隔膜。该技术是在主动脉夹层腔内修复过程中实现真腔与假腔之间通路的一种精确选择。
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