Work

A modified squid capture technique for improved laser position during in situ fenestration

Year: 2025

Type: article

Abstract: In situ laser fenestration during thoracic endovascular aortic repair is effective and widely utilized, although achieving orthogonal laser alignment can be difficult in patients with complex aortic arch anatomy. A modification of the previously described "squid capture" technique is presented, employing a temporary, removable wire loop to stabilize a sheath against the endograft and facilitate perpendicular laser positioning. This approach minimizes intravascular manipulation, reducing the risk of embolic events, stroke, and arterial injury. A case involving a 60-year-old male with residual dissection and aneurysmal degeneration illustrates the technique's application. The method is simple, reproducible, and suited for challenging anatomy.

Source: Journal of Vascular Surgery Cases and Innovative Techniques

DOI: 10.1016/j.jvscit.2025.102007

Authors: Matthew S. Harris, Konstantinos C. Karabetsos, Mark Levy, Robert A. Larson, Francisco C. Albuqerque, Daniel H. Newton

Institutions: Virginia Commonwealth University, Virginia Commonwealth University Medical Center

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,250