Fenestration of an aortic endovascular graft using an electrified coronary guidewire

Figure 1. Steps of the procedure and the result. A) Angiography of the left subclavian artery. B) Telescopic system of the wire in the PiggyBack in the JR4 diagnostic catheter. C) Guidewire penetration through the stent graft fabric. D) Wire connected to electrosurgery pencil using a needle driver outside of the patient’s body. E) Stent enhancement imaging after stent implantation in the left subclavian artery through the fenestration. F) CT angiography after the procedure.

A 77-year-old man with a history of coronary artery bypass surgery including a left internal thoracic artery graft had undergone thoracic endovascular aortic ...