Transcatheter stent-graft implantation for the treatment of acute aortic dissection -rupture of aneurysm because of perigraft leakage-

1998 ◽  
Vol 46 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Yuji Seo ◽  
Mitsunori Kaneko ◽  
Masaaki Kato ◽  
Toru Kuratani ◽  
Tsunekazu Mizushima
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Acute Aortic Dissection ◽  
Stent Graft Implantation ◽  
Graft Implantation

Complications after Endovascular Repair of Type B Aortic Dissection

2002 ◽  
Vol 9 (6) ◽  
pp. 822-828 ◽  
Author(s):  
Reinhard S. Pamler ◽  
Thomas Kotsis ◽  
Johannes Görich ◽  
Xaver Kapfer ◽  
Karl-Heinz Orend ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Stent Grafting ◽  
Stent Graft Implantation ◽  
Graft Implantation

Purpose: To outline the complications encountered after endoluminal treatment in patients with type B aortic dissection. Methods: Between 1999 and 2001, 14 patients (12 men; mean age 60.3 years, range 39–79) with isolated type B aortic dissection (13 chronic, 1 acute) underwent aortic stent-grafting. Three patients with chronic dissection presented an acute clinical picture and were managed emergently. The left subclavian artery was intentionally covered by the prosthesis in 9 patients. Follow-up studies were performed at 6-month intervals. Results: Stent-graft implantation was technically successful in all patients, but incomplete sealing (endoleak) of the entry site required additional proximal stent-graft implantation in 4. The left subclavian artery remained patent in 5 patients. Secondary conversion was required in 3 patients: 2 for acute type A dissection resulting from injury to the aortic arch by Talent endografts and a sustained hemorrhage (left hemothorax). In another patient, a secondary intramural hematoma subsided spontaneously. Anterior spinal artery syndrome in 1 patient persisted at 1 month. No bypass was necessary for the 9 patients with the covered left subclavian arteries. Mean follow-up was 14 months (range 1–23). Conclusions: Stent-grafting is feasible in patients with type B aortic dissection, although it is associated with a considerable rate of complications. Frank reporting of these sequelae for a variety of stent-grafts is of paramount importance to clarifying the limitations of the method.

How to Exclude the Dilated False Lumen in Patients after a Type B Aortic Dissection? The Cork in the Bottleneck

2003 ◽  
Vol 10 (2) ◽  
pp. 244-248 ◽  
Author(s):  
Maartje C. Loubert ◽  
Victor P.M. van der Hulst ◽  
Cees De Vries ◽  
Kees Bloemendaal ◽  
Anco C. Vahl
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Case Reports ◽  
False Lumen ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Type B Dissection ◽  
Occluder Device ◽  
Stent Graft Implantation ◽  
Graft Implantation

Purpose: To report techniques for excluding the dilated false lumen associated with chronic type B aortic dissection following placement of a stent-graft in the true lumen. Case Reports: Two patients underwent stent-graft implantation for a dilated false lumen after chronic aortic dissection, but the false lumen was not excluded from the circulation by this procedure. The false lumen was obliterated in one case with Greenfield filters and detachable balloons placed above a renal artery orifice that was perfused via the false lumen. This acted like “a cork in the bottleneck” to block retrograde flow into the thoracic portion of the false lumen above the blockade. In the other patient, an occluder device was used as the “cork.” In both cases, a good result was obtained. The occluder device is preferred because deployment is more controllable. Conclusions: An occluder device may be used like a cork in a bottle to exclude the dilated false lumen in the thoracic aorta after a type B dissection.

Triple-branched Stent Graft Implantation for Acute Non-A–non-B Aortic Dissection

2021 ◽  
Author(s):  
Qianzhen Li ◽  
Qingsong Wu ◽  
Weixiong Wu ◽  
Xaofu Dai ◽  
Guanhua Fang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Stent Graft Implantation ◽  
Graft Implantation

scholarly journals Transesophageal echocardiography–guided algorithm for stent-graft implantation in aortic dissection

2004 ◽  
Vol 40 (5) ◽  
pp. 880-885 ◽  
Author(s):  
Guido Rocchi ◽  
Carla Lofiego ◽  
Elena Biagini ◽  
Tommaso Piva ◽  
Giovanni Bracchetti ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Transesophageal Echocardiography ◽  
Stent Graft ◽  
Stent Graft Implantation ◽  
Graft Implantation

scholarly journals How to Guide Stent-Graft Implantation in Type B Aortic Dissection?

Circulation ◽  
2005 ◽  
Vol 112 (9_supplement) ◽  
Author(s):  
Dietmar H. Koschyk ◽  
Christoph A. Nienaber ◽  
Malgorzata Knap ◽  
Thomas Hofmann ◽  
Yskert V. Kodolitsch ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Guide Wire ◽  
False Lumen ◽  
Entire Length ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Complex Anatomy ◽  
Stent Graft Implantation ◽  
Graft Implantation

Background— Despite growing interest in stent-graft implantation for type-B aortic dissection, there are no established recommendations to prepare and perform an implantation procedure. Methods and Results— We directly compared angiography (ANGIO), transesophageal echocardiography (TEE), and intravascular ultrasound (IVUS) intraprocedually before and after placement of 48 stent grafts in 42 consecutive patients (12 women, 61±11 years of age) with acute and chronic type-B aortic dissection for both usefulness and capability to guide aortic stent-graft implantation. Both IVUS and TEE are superior to ANGIO to identify multiple entries (52 and 43 versus 34; P <0.005 each), to diagnose false-lumen slow flow after stent-graft implantation (32 and 31 versus 24; P <0.005 each) and to detect incomplete stent apposition (18 and 16 versus 8; P <0.005 each). In comparison with ANGIO, guide wire position over the entire length of the aorta was documented more frequently by TEE and IVUS (40 and 42 versus 25; P <0.001 each). In 4 patients with abdominal extension of the dissection, only IVUS was able to accurately identify the false lumen over the entire length of the diseased aorta. TEE was superior to IVUS and ANGIO in the detection of endoleaks (5 versus 0 and 1; P <0.05 each). Intraprocedural ANGIO, TEE, and IVUS had been performed without complications in all patients. Conclusions— TEE in conjunction with ANGIO appears to be advantageous and adds incremental information to safely guide stent-graft placement in type-B aortic dissection. Additional use of IVUS was found to be helpful in patients with complex anatomy and abdominal extension of the dissection.

Midterm Results of Aortic Diameter Outcomes After Thoracic Stent-Graft Implantation for Aortic Dissection: A Multicenter Study

2006 ◽  
Vol 13 (2) ◽  
pp. 127-138 ◽  
Author(s):  
Virginia Gaxotte ◽  
Frédéric Thony ◽  
Hervé Rousseau ◽  
Christophe Lions ◽  
Philippe Otal ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Multicenter Study ◽  
Aortic Diameter ◽  
Midterm Results ◽  
Stent Graft Implantation ◽  
Graft Implantation ◽  
Thoracic Stent Graft
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