ArticleJournal of vascular surgery cases and innovative techniques2025
Fiber Optic RealShape (FORS) and three-dimensional overlay technology in preemptive segmental artery embolization to reduce the risk of spinal cord ischemia prior to fenestrated endovascular aortic aneurysm repair.
Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed.
- Best of 2025-Thoracic and thoracoabdominal aneurysms and dissections.Journal of vascular surgery cases and innovative techniques · 2026Article
- Best of 2025-abdominal aortic and iliac aneurysm.Journal of vascular surgery cases and innovative techniques · 2026Article
- Radiation-free complex endovascular aortic repair: The future is now?Journal of vascular surgery cases and innovative techniques · 2025Article
- Spinal cord protection in open and endovascular aortic surgery: current strategies, controversies and future directions.Frontiers in cardiovascular medicine · 2025Review
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2 authors.
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Abstract
Branched/fenestrated endovascular aortic aneurysm repair (B/FEVAR) carries a risk of spinal cord ischemia (SCI), which increases along with increasing length of aortic luminal coverage of the repair. Pre-emptive coverage with first-stage thoracic endovascular aortic aneurysm repair or embolization of intercostal/lumbar vessels as a staging procedure to reduce the risk of SCI after repair has become commonplace. Intercostal/lumbar embolization can be a technically challenging procedure due to the number of vessels and multiple projections required for cannulation, leading to long procedure times and high radiation/contrast dosing, sometimes requiring multiple sessions to complete. Non-radiation-based imaging modalities such as Lumiguide Fiber Optic RealShape (FORS) by Philips has demonstrated reduction of contrast/fluoroscopy for performance of B/FEVAR and can be particularly useful for procedures requiring multiple imaging views and the resulting high fluoroscopy times/radiation dose. In this case report, we describe the successful utilization of three-dimensional overlay and FORS imaging software in preemptive segmental artery embolization before F/BEVAR to reduce the risk of SCI.
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