Use of Endovascular Stents for Acute Aortic Dissection: An Experimental Study

Marty-Ané, Charles; Serres-Cousiné, Olivier; Laborde, Jean Claude; Costes, Valérie; Alauzen, Michel; Mary, H

doi:10.1007/bf02133063

Cited by 15 publications

(7 citation statements)

References 28 publications

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“…Stenting should cover the entire dissection. Experimental studies have demonstrated that stenting a dissection is efficient (with histological healing of the dissection) if stents are inserted at the site of the intimal tear and cover the entire dissected lumen [11][12][13][14][15]. In our first case, due to slipping of the iliac stent on the dissected intimal wall, there was a segment of dissection uncovered with a remaining circulation in the false lumen.…”

Section: Discussionmentioning

confidence: 84%

Dissection of the Abdominal Aorta in Blunt Trauma: Management by Percutaneous Stent Placement

Vernhet

Marty-Ané

Lesnik

et al. 1997

Cardiovasc Intervent Radiol

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We implanted stents in three patients who had traumatic abdominal aortic dissections, complicated by right limb ischemia in one case. The circulating false channel extended to the left iliac artery in one case and to both iliac arteries in the last case. Diagnosis and radiological follow-up included ultrasound, computed tomography, and arteriography. Two patients were treated with Wallstents, one with a Palmaz stent. The occlusion of the false channel was obtained in all patients without any significant residual stenosis. No early or late complication was noted in any of the patients. The longest follow-up was 2 years. We conclude that stent placement is an efficient method for the treatment of noniatrogenic inframesenteric aortic dissections.

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Section: Discussionmentioning

confidence: 84%

Dissection of the Abdominal Aorta in Blunt Trauma: Management by Percutaneous Stent Placement

Vernhet

Marty-Ané

Lesnik

et al. 1997

Cardiovasc Intervent Radiol

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“…Ces procédures aboutissent le plus souvent à un bon résultat avec perméabilité de l'artère et cicatrisation de la paroi. Cette idée est confortée par les données des études expérimentales publiées depuis plus de 10 ans (11)(12)(13). Celles-ci montrent que, sur des modèles expérimentaux de dissection aortique récente, la mise en place de stent non couvert entraîne la disparition du faux chenal et la cicatrisation de l'aorte en 6 semaines.…”

Section: Discussionunclassified

“…Le mécanisme d'action des stents non couverts est étayé par les résultats de travaux expérimentaux (11)(12)(13).…”

Section: Chirurgie De La Dissection Aortique De Type a Par Remplacemeunclassified

Endoprothèses peropératoires: Un plus? Pour quelle dissection?

Roux

Léobon

2009

Les Syndromes Aortiques Aigus

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“…In the aortic arch or in the celiac segment, a bare graft may be efficient if the aorta is not too dilated and if the patency of collateral branches is not jeopardized by the intimal flap. As previously described experimentally 3 and clinically, 4 the effect of a bare stent on the false lumen is limited to the site of implantation. The CT scan in the Figure illustrates the complementariness of a stent-graft and bare stents in treating an extensive residual aortic dissection after ascending aortic replacement.…”

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confidence: 91%