Fenestration of the intima to facilitate successful endovascular repair of a dissecting abdominal aneurysm

Станков, Зоран; Petrov, Ivo; Vasilev, Strahil; Yanevska, Lyubinka

doi:10.31083/j.rcm2204159

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Treatment in these cases should be directed at restoration of the flow in the aortic true lumen [ 18 , 19 ]. The dynamic obstruction can be managed by two distinct endovascular solutions–coverage of the entry tear by TEVAR and/or fenestrating the intimal flap [ 20 , 21 ]. The major factor contributing to the successful outcome after acute malperfusion in aortic dissection is the rapidity with which blood flow is restored to the ischemic organs or limbs.…”

Section: Discussionmentioning

confidence: 99%

“…They inserted an uncovered stent into the aortic arch in order to cope with the possible risk for later complications, because in these cases the aortic arch remains untreated and free for future formation of aneurysm or retrograde aortic dissection [ 24 ]. Aortic arch complications and persistent patent distal false lumen are problematic late complications after surgery for type A AD, which could require future endovascular repair with intimal fenestration and stent-graft implantation [ 21 ]. As we can see, there are two different strategies for the management of patients presenting with type A AD.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular Treatment of Complex Aortic Dissection. A Single Center 5 Years' Experience with 36 Patients

Petrov¹,

Станков²,

Vasilev³

et al. 2023

Rev. Cardiovasc. Med.

View full text Add to dashboard Cite

Background: We present an analysis that compares aortic morphological and clinical outcomes of 36 patients, all treated with endovascular uncovered stents implantation preceded or not by stent-graft implantation, or surgical treatment in the context of complex treatment of type A or type B aortic dissection. Methods: Between 2014 and 05/2018 our team treated 36 patients with acute aortic dissection and end-organ ischemia due to true lumen compression. All clinical and periprocedural data were obtained prospectively, followed by a retrospective analysis. The case series aim is to show induction of aortic remodeling by depressurization of the false lumen and increasing the size of the true lumen by non-covered stents implantation in the aorta and its affected side branches. Secondary endpoints were survival, branch patency, true lumen and false lumen size evolution. Results: Results from the diameter of both lumens measured by computed tomography angiography (CTA) before and at least 1 year after the treatment showed statistically significant differences, patent stents, as well as symptomatic improvement in all patients. Both aorta-related and general mortality in this complex group of patients was 0%. Conclusions: The concept of redirection of flow in aortic dissection with non-covered stents was safe, led to positive aorta remodeling and resulted in excellent survival rate.

show abstract