Complicated Acute Type B Thoracic Aortic Dissections: Endovascular Treatment For Visceral Malperfusion And Pseudoaneurysms.
In: Vascular & Endovascular Surgery, Jg. 45 (2011-04-01), Heft 3, S. 219-226
Online
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Zugriff:
Purpose: Morbidity and mortality of acute type B thoracic aortic dissections remain alarmingly high. Endoluminal options are promising. Methods: A single-center 5-year review of 17 acute type B aortic dissections complicated by visceral malperfusion (11) or pseudoaneurysm formation (6) treated with endovascular intervention. Interventional techniques included endografting (15) and/or percutaneous fenestration (4). Median follow-up is 28 months (range 0-76 months). Results: Median age was 55 years; 30-day death, stroke, and paraplegia rates were 0%, 17.6%, and 5.9%. Success reversing visceral ischemia or sealing a pseudoaneurysm was 100%. Cross-sectional imaging demonstrated that the false lumen was thrombosed in 9 patients, partially thrombosed in 6 patients. Late events include 1 delayed proximal type I endoleak, 1 delayed rupture of the thoracic aorta requiring successful emergent open surgical repair, and 2 unrelated late deaths. Conclusion: Endovascular approaches to type B dissections presenting with visceral malperfusion and/or pseudoaneurysm can achieve acceptable early results. [ABSTRACT FROM PUBLISHER]
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Complicated Acute Type B Thoracic Aortic Dissections: Endovascular Treatment For Visceral Malperfusion And Pseudoaneurysms.
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Autor/in / Beteiligte Person: | Naughton, Peter A. ; Garcia-Toca, Manuel ; Matsumura, Jon S. ; Rodriguez, Heron E. ; Morasch, Mark D. ; Resnick, Scott A. ; Eskandari, Mark K. |
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Zeitschrift: | Vascular & Endovascular Surgery, Jg. 45 (2011-04-01), Heft 3, S. 219-226 |
Veröffentlichung: | 2011 |
Medientyp: | academicJournal |
ISSN: | 1538-5744 (print) |
DOI: | 10.1177/1538574410395039 |
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