FEVAR With A Physician-modified Endovascular Graft Using Fiber Optic Realshape (FORS) Technology
Nicholas J. Swerdlow, MD, Kirsten Dansey, MD, Thomas F.X. O'Donnell, MD, Marc L. Schermerhorn, MD.
Beth Israel Deaconess Medical Center, Boston, MA, USA.
Fiber Optic RealShape (FORS) technology (Philips, Amsterdam, The Netherlands) is a groundbreaking, radiation-free endovascular imaging system. Using fiberoptics, the FORS wire and catheter are capable of sensing shape and three-dimensional location in space. When paired with VesselNavigator image fusion (Philips), the FORS system allows for wire and catheter manipulation with minimal radiation and contrast use.
In this video, we present the case of a 78 year-old woman with a 5.4 cm suprarenal abdominal aortic aneurysm. She was demeaned prohibitive risk for open surgery due to her age and comorbidities and was offered a fenestrated repair with a physician-modified endovascular graft, enrolled in our FDA-approved, physician-sponsored IDE trial. This video demonstrates key elements of the case, focusing on the use for the FORS system for cannulation of the target vessels and the contralateral gate of bifurcated component.
In conclusion, this video demonstrates the use of a novel technology that has the potential to make a substantial impact on the world of endovascular surgery. Vascular surgeons are pushing the boundaries of complex endovascular operations, but these procedures are associated with large contrast volume and high radiation doses. The FORS technology has the potential to significantly decrease this reliance on radiation and contrast, and may ultimately help to obviate the need for radiation exposure during these procedures all together.
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