Fiber Optic RealShape imaging using upper extremity and transfemoral access for fenestrated-branched endovascular aortic aneurysm repair

Felipe L. Pavarino, MD; Jesus Porras-Colon, MD; Marilisa Soto-Gonzalez, MDM; Alejandro Pizano, MD; Mirza S. Baig, MD; Carlos H. Timaran, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Jun 2023)

Fiber Optic RealShape imaging using upper extremity and transfemoral access for fenestrated-branched endovascular aortic aneurysm repair

Felipe L. Pavarino, MD,
Jesus Porras-Colon, MD,
Marilisa Soto-Gonzalez, MDM,
Alejandro Pizano, MD,
Mirza S. Baig, MD,
Carlos H. Timaran, MD

Affiliations

Felipe L. Pavarino, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Jesus Porras-Colon, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Marilisa Soto-Gonzalez, MDM: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Alejandro Pizano, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Mirza S. Baig, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Carlos H. Timaran, MD: Correspondence: Carlos H. Timaran, MD, Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, 5959 Harry Hines Blvd, PO Box 1, Ste 620, Dallas, TX 75390-9157; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX

Journal volume & issue: Vol. 9, no. 2
p. 101191

Abstract

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We report our initial experience using Fiber Optic RealShape (FORS), an innovative real-time three-dimensional visualization technology that uses light instead of radiation, to achieve upper extremity (UE) access during fenestrated/branched endovascular aortic aneurysm repair (FBEVAR). An 89-year-old male patient with a type III thoracoabdominal aortic aneurysm, unfit for open aortic repair, underwent FBEVAR. Dual fluoroscopy, intravascular ultrasound, and three-dimensional fusion overlay were used, in addition to FORS. All target artery catheterizations were successfully accomplished using FORS, from UE access, without radiation. Our experience demonstrates that FBEVAR with FORS using UE access can be used for target artery catheterization without radiation.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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Abstract

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