Acute aortic syndrome

Podzoklov, V. I.; Vargina, T. S.

doi:10.18821/0023-2149-2017-95-9-855-861

Cited by 1 publication

(1 citation statement)

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“…According to the DeBakey classification, there are 3 types: Type I, when dissection involves the aortic arch, the ascending and descending parts of the thoracic aorta; Type IIproximal fenestration and dissection involve only the ascending aorta; Type III -proximal intimal tear is limited only to the descending thoracic aorta. Since the treatment tactics of Types I and II are similar, currently the most common anatomical classification is Stanford, according to which Type A is the proximal/ascending type, and Type B is the distal/descending one [3].…”

Section: Introductionmentioning

confidence: 99%

CT-fusion-guided thoracic endovascular aortic repair: Case report and literature review

Khilchuk

Payvin²,

Scherbak³

et al. 2021

Vestnik SPbSU. Medicine

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Interventional and hybrid methods of treatment, combining open surgical and endovascular repairs, are the most promising areas in the surgery of the thoracoabdominal aorta. Recent studies, however, have demonstrated that complex thoracic endovascular aneurysm repair (TEVAR) is one of the most high-dose endovascular interventions. In addition, TEVAR is associated with the use of a significant volume of contrast media (CM), which can lead to contrast-induced acute kidney injury (CI-AKI). The use of advanced imaging techniques and computed tomographic fusion (CT-fusion) in routine practice can potentially reduce operation duration, radiation exposure and CM volume usage. We analyzed the literature on CTfusion in endovascular aortic repair and present a clinical case of a 50-year-old male with a history of concomitant blunt chest trauma. CT of the chest revealed an aneurysm of the arch and descending aorta after traumatic dissection of the aorta (IIIa DeBakey, type B Stanford), post-traumatic diaphragmatic hernia of the left dome of the diaphragm with stomach and intestinal loops prolapse. The patient underwent a staged hybrid intervention — subtotal aortic arch debranching followed by CT-fusion-guided semi-arch TEVAR. CT-fusion is a dynamically developing technology, may reduce the CM volume, the duration of the procedure and radiation exposure and requires further research.

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Section: Introductionmentioning

confidence: 99%