In situ laser fenestration of the Thoraflex Hybrid frozen elephant trunk for emergent revascularization of the left subclavian artery and laser fenestration for spinal cord perfusion

Maysam Shehab; Anders Wanhainen; Gustaf Tegler; Kevin Mani; Marek Kuzniar

doi:10.1016/j.jvscit.2024.101426

In situ laser fenestration of the Thoraflex Hybrid frozen elephant trunk for emergent revascularization of the left subclavian artery and laser fenestration for spinal cord perfusion

J Vasc Surg Cases Innov Tech. 2024 Jan 13;10(2):101426. doi: 10.1016/j.jvscit.2024.101426. eCollection 2024 Apr.

Authors

Maysam Shehab¹, Anders Wanhainen^{1

2}, Gustaf Tegler¹, Kevin Mani¹, Marek Kuzniar¹

Affiliations

¹ Division of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
² Division of Surgery, Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.

Abstract

In situ laser fenestration (ISLF) has emerged as a promising technique for emergent revascularization of the left subclavian artery in the case of thoracic endovascular aortic repair coverage, presenting excellent technical success rates in most studies. We describe a case of ISLF of the Thoraflex Hybrid frozen elephant trunk device to achieve immediate left subclavian artery revascularization. We demonstrate the feasibility and technical success of using ISLF in this setting, providing a less invasive alternative to conventional surgical revascularization when required.

Keywords: Hybrid FET; In situ laser fenestration; Left subclavian artery; Thoraflex.

Publication types

Case Reports