Left subclavian artery bridging stent fracture after in-situ laser fenestration during emergent thoracic endovascular aortic repair

Autor: Austėja Račytė, MD, Luis H. Arzola, MD, Anders Wanhainen, MD, PhD, Giuseppe Asciutto, MD, PhD, Marek Kuzniar, MD, PhD, Kevin Mani, MD, PhD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 10, Iss 5, Pp 101550- (2024)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2024.101550
Popis: In-situ laser fenestration (ISLF) has been described as a viable option for urgent thoracic aortic aneurysm cases involving supra-aortic vessels. There are, however, limited data on its durability. Here, we present a case of a 70-year-old man with a symptomatic 13-cm thoracic aortic aneurysm extending proximally to the origin of the left subclavian artery (LSA). Emergent thoracic endovascular aortic repair with chimney stenting of the left common carotid artery and ISLF for the LSA was successfully performed. During the follow-up, a compression of the bridging stent to the LSA progressed to a stent fracture needing realignment. Despite ISLF’s reported technical success, this case highlights the risk of bridging stent complications, emphasizing the need for a close follow-up.
Databáze: Directory of Open Access Journals