Thoracic endovascular repair for disseminated intravascular coagulation associated with chronic type B aortic dissection

Vascular ◽  
2020 ◽  
Vol 28 (6) ◽  
pp. 705-707
Author(s):  
Jumpei Yamamoto ◽  
Arudo Hiraoka ◽  
Hidenori Yoshitaka
Keyword(s):  
Aortic Dissection ◽  
Disseminated Intravascular Coagulation ◽  
Endovascular Repair ◽  
Rare Complication ◽  
False Lumen ◽  
Celiac Artery ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Intravascular Coagulation

Objectives Chronic disseminated intravascular coagulation is a rare complication of aortic dissection, and its optimal treatment remains controversial. Methods We present a 78-year-old man with repeated hemorrhagic events by disseminated intravascular coagulation due to chronic aortic dissection treated by thoracic endovascular aortic repair. Results Computed tomography angiography at three months revealed a completely thrombosed false lumen from the distal aortic arch to the descending aorta at the celiac artery level. Platelets and D-dimer levels remained stable, and the patient was doing well without hemorrhagic complications. Conclusions Endovascular repair was effective for disseminated intravascular coagulation due to chronic type B aortic dissection.

Management of Residual False Lumen Flow After Thoracic Endovascular Repair in Chronic Type B Aortic Dissection

2020 ◽  
Vol 04 (05) ◽  
Author(s):  
Hervé Rousseau ◽  
Paul Revel-Mouroz ◽  
Charline Zadro ◽  
Camille Dambrin ◽  
Christophe Cron ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Endovascular Repair ◽  
False Lumen ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Thoracic Endovascular Repair

scholarly journals Candy-plug technique for ruptured chronic type B aortic dissection

2019 ◽  
Vol 27 (9) ◽  
pp. 770-772
Author(s):  
Akimasa Morisaki ◽  
Etsuji Sohgawa ◽  
Noriaki Kishimoto ◽  
Kokoro Yamane ◽  
Toshihiko Shibata
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Endovascular Repair ◽  
Computed Tomography Angiography ◽  
False Lumen ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Descending Aorta ◽  
Mediastinal Hematoma

Ruptured chronic type B aortic dissection is conventionally repaired surgically; however, the mortality is high. We report successful use of the candy-plug technique for ruptured chronic type B aortic dissection. A 62-year-old man with ruptured type IIIb dissection was transferred to our hospital as an emergency. Computed tomography angiography showed a dissecting aorta with a patent false lumen, ruptured proximal descending aorta, distal aortic arch entry, and mediastinal hematoma. Debranching endovascular repair with the candy-plug technique achieved occlusion of the false lumen of the ruptured aortic dissection. The patient recovered uneventfully and the false lumen gradually decreased with no endoleak.

scholarly journals A Systematic Review of Mid-term Outcomes of Thoracic Endovascular Repair (TEVAR) of Chronic Type B Aortic Dissection

2011 ◽  
Vol 54 (5) ◽  
pp. 1538-1539
Author(s):  
S.G. Thrumurthy ◽  
A. Karthikesalingam ◽  
B.O. Patterson ◽  
P.J.E. Holt ◽  
R.J. Hinchliffe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Aortic Dissection ◽  
Endovascular Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Thoracic Endovascular Repair

Safety and Effectiveness of TEVAR in Native Proximal Landing Zone 2 for Chronic Type B Aortic Dissection in Patients With Genetic Aortic Syndrome

2021 ◽  
pp. 152660282110612
Author(s):  
Ahmed Eleshra ◽  
Giuseppe Panuccio ◽  
Konstantinos Spanos ◽  
Fiona Rohlffs ◽  
Yskert von Kodolitsch ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
False Lumen ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Ehlers Danlos Syndrome ◽  
Landing Zone ◽  
Aortic Repair

Objectives The aim of this study is to report the safety and effectiveness of thoracic endovascular aortic repair (TEVAR) in a native proximal landing zone (PLZ) 2 for chronic type B aortic dissection (TBAD) patients with genetic aortic syndrome (GAS). Methods A retrospective review of a single center database to identify patients with GAS treated with TEVAR in native PLZ 2 for chronic TBAD and thoracic false lumen aneurysm between February 2012 and February 2018 was undertaken. Results In total, 31 patients with GAS (24 Marfan syndrome [MFS], 5 Loeys-Dietz syndrome [LDS], and 2 vascular Ehlers-Danlos syndrome [vEDS]) were treated by endovascular repair. Nineteen patients were treated by TEVAR as index procedures with 8 patients (5 females, mean age = 55, range = 36–79 years old) receiving TEVAR in native PLZ 2. Left subclavian artery (LSA) perfusion was preserved in all 8 patients: by left common carotid artery-LSA bypass in 6 patients, chimney stenting of the LSA in 1 patient, and partial coverage of LSA ostium in 1 patient. Technical success was achieved in all patients (100%). There was no 30 day mortality (0%). The 30 day morbidity (0%) was free from major complications. The median follow-up was 40 months (range = 7–79). One patient died due to non-aortic-related cause. Native PLZ 2 was free from complications in MFS patients (5/8). Two patients with LDS developed type Ia endoleak with aneurysmal progression. One patient was treated by proximal extension with a double inner branched arch stent-graft landing in the replaced ascending aorta. The other one was treated with frozen elephant trunk. Conclusion Thoracic endovascular aortic repair in native PLZ 2 was safe and effective with no early or midterm PLZ complications in patients with MFS with chronic TBAD in this limited series. Native PLZ 2 is not safe in patients with LDS and should only be used in emergencies as a bridging to open repair.

Flow Diversion: A Novel Technique In The Management Of Aneurysmal False Lumen In Chronic Type B Aortic Dissection

2020 ◽  
Vol 63 ◽  
pp. 10-11
Author(s):  
Motahar Hosseini ◽  
David N. Blitzer ◽  
Anahita Ghazi ◽  
Shahab Toursavadkohi
Keyword(s):  
Aortic Dissection ◽  
False Lumen ◽  
Flow Diversion ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Novel Technique

scholarly journals A Systematic Review of Mid-term Outcomes of Thoracic Endovascular Repair (TEVAR) of Chronic Type B Aortic Dissection

2011 ◽  
Vol 42 (5) ◽  
pp. 632-647 ◽  
Author(s):  
S.G. Thrumurthy ◽  
A. Karthikesalingam ◽  
B.O. Patterson ◽  
P.J.E. Holt ◽  
R.J. Hinchliffe ◽  
...  
Keyword(s):  
Systematic Review ◽  
Aortic Dissection ◽  
Endovascular Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type ◽  
Thoracic Endovascular Repair

scholarly journals PC014. Intercostal Coil Embolization to Induce False Lumen Thrombosis in Chronic Type B Aortic Dissection

2019 ◽  
Vol 69 (6) ◽  
pp. e207
Author(s):  
Jeniann A. Yi ◽  
Gregory A. Magee ◽  
Mohammed Eldeiry ◽  
T. Brett Reese ◽  
David P. Kuwayama
Keyword(s):  
Aortic Dissection ◽  
Coil Embolization ◽  
False Lumen ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type

scholarly journals Endovascular repair of a ruptured chronic type B aortic dissection

2002 ◽  
Vol 36 (2) ◽  
pp. 401-403 ◽  
Author(s):  
R.J. Hinchliffe ◽  
I.R. Davidson ◽  
S.T.R. MacSweeney
Keyword(s):  
Aortic Dissection ◽  
Endovascular Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Chronic Type
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