Bare Metal Stent Implantation in Treating Distal Aortic Dissection: A Case Report

РезюмеТактика лечения хронического расслоения торакоабдоминального отдела аорты III типа по ДеБейки до сих пор остается спорным вопросом из-за индивидуальных особенностей каждого пациента, не специфичности жалоб и симптомов и сопряженных с ними серьезных осложнений, присущих прогрессированию заболевания (разрыв аорты, синдром мальперфузии внутренних органов, ретроградная диссекция, рефрактерная гипертензия, боль). В данной статье представлен клинический случай этапного эндоваскулярного лечения пациентки 78 лет с хроническим расслоением торакоабдоминального отдела аорты III типа по ДеБейки на фоне неконтролируемой артериальной гипертензии. Эндоваскулярный метод является эффективным и безопасным инструментом в лечении этой сложной группы пациентов, в том числе нетолерантных к открытому хирургическому лечению.Ключевые слова: расслоение торакоабдоминального отдела аорты, эндоваскулярное лечение расслоения аорты, PETTICOAT.Для цитирования: Чернова Д.В., Жердев Н.Н., Чернявский М.А. Этапное эндоваскулярное лечение расслоения торакоабдоминальной аорты (III типа по ДеБейки) у пациентки высокого кардиального риска. Трансляционная медицина. 2019;6(4):13-21.

show abstract

Staged Endovascular Treatment of Thoracoabdominal Aortic Dissection (DeВakey Type III) in High Cardiovascular Risk Patient

Чернова

Жердев

Chernyavskiy

2019

Transl. med. (Print)

Self Cite

View full text Add to dashboard Cite

show abstract

Treatment of a patient with acute thoracoabdominal aortic dissection complicated by haemothorax

Чернова¹,

Жердев²,

Чернов³

et al. 2021

Angiol Sosud Khir

View full text Add to dashboard Cite

Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study

Soborov

Канадашвили

Belykh

et al. 2021

jour

View full text Add to dashboard Cite

The aim. To evaluate the immediate outcomes after complete single-stage or step-by-step reconstruction of the primary and secondary distal aortic dissection using implantation of bare metal stents in the thoracoabdominal aorta.Materials and methods. A prospective study was performed involving 21 patients (19 male) with aortic dissection: 8 had secondary distal dissection (group 1) and 13 had primary distal dissection (group 2). In all patients, indications for intervention were signs of malperfusion in one or more vascular regions. The following factors were evaluated: 30-day survival after surgery, causes of fatal outcomes, frequency and characteristics of non-fatal complications.Results. The average age in group 1 was 43.0 ± 3.1 years, in group 2: 56.0 ± 3.9 years (p < 0.05). The most common cause of dissection in group 1 was connective tissue dysplasia, in group 2 – atherosclerosis in combination with arterial hypertension (p < 0.05). In group 1, 1 (13%) lethal outcome was registered, in group 2 – 4 (31%), the difference between the groups was not significant. Lethal complications were: multiple organ failure, stent implantation in the false aortic canal, aortic rupture, and thrombosis of the superior mesenteric artery. Non-fatal complications developed in group 1 in 3 (38%), in group 2 – in 3 (23%) patients, the difference between the groups is not significant. Among the non-lethal complications, malperfusion of the upper and lower extremities was diagnosed, requiring stent placement, prosthetics or bypass surgery; cerebrospinal circulation disorder, acute cerebrovascular accident, multiple organ failure, conservatively treated.Conclusion. The survival rate for 30 days after a complete single-stage or step-by-step reconstruction of the primary and secondary distal aortic dissection using implantation of bare metal stents in the thoracoabdominal aorta is 76%, the frequency of non – fatal complications is 28%.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Bare Metal Stent Implantation in Treating Distal Aortic Dissection: A Case Report

Cited by 3 publications

References 10 publications

Staged Endovascular Treatment of Thoracoabdominal Aortic Dissection (DeВakey Type III) in High Cardiovascular Risk Patient

Staged Endovascular Treatment of Thoracoabdominal Aortic Dissection (DeВakey Type III) in High Cardiovascular Risk Patient

Treatment of a patient with acute thoracoabdominal aortic dissection complicated by haemothorax

Immediate outcomes of simultaneous and step-by-step reconstruction of aortic dissection: a single-center study

Contact Info

Product

Resources

About