scholarly journals A Successful Endovascular Technique for Complete False Lumen Thrombosis in Chronic Abdominal Aortic Dissection

2021 ◽  
Vol 14 (1) ◽  
pp. 75-78
Author(s):  
Hiromitsu Hiruma ◽  
Yukihisa Ogawa ◽  
Kiyoshi Chiba ◽  
Takaaki Maruhashi ◽  
Akiyuki Kotoku ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
False Lumen ◽  
Endovascular Technique ◽  
Abdominal Aortic ◽  
Abdominal Aortic Dissection

scholarly journals Salvage endovascular septectomy in patients with chronic abdominal aortic dissection after failed endovascular aneurysm repair

2019 ◽  
Vol 29 (4) ◽  
pp. 621-624
Author(s):  
Hui Zhuang ◽  
Fanggang Cai ◽  
Zhixian Wu ◽  
Tenghui Zhan ◽  
Hongyu Chen ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Abdominal Aorta ◽  
Endovascular Aneurysm Repair ◽  
False Lumen ◽  
Endovascular Aortic Repair ◽  
Study Cohort ◽  
Aortic Repair ◽  
Abdominal Aortic ◽  
Abdominal Aortic Dissection ◽  
Aneurysm Repair

Abstract This study aimed to investigate the efficacy and safety of salvage endovascular septectomy in patients with abdominal chronic aortic dissection (CAD) after endovascular aneurysm repair. A study cohort comprising 6 patients with chronic abdominal aortic dissection after failed endovascular aortic repair [mean age 62.5 (36–69) years] were enrolled to undergo salvage endovascular septectomy. The procedure involved entering the false lumen via the intrinsic visceral entry to perform a confined septectomy using a ‘Gigli wire’ to merge the true and false lumens. The outcomes were assessed by Digital angiography and computed tomography angiography. All 6 patients were successfully operated on; the diameters of the visceral abdominal aorta and the infrarenal abdominal aorta were similar at 1, 3, 6 and 12 months compared with the baseline; the patency of the visceral branch arteries was also stable at 1, 3, 6 and 12 months compared with the baseline; no occlusion of the visceral branch arteries was noted; no major vascular adverse events or deaths were observed. In this preliminary study, it was proven that salvage endovascular septectomy is a potentially advantageous technique that is safe and effective in the treatment of patients with CAD after failed endovascular aortic repair.

scholarly journals Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling

2015 ◽  
Vol 61 (6) ◽  
pp. 1424-1431 ◽  
Author(s):  
Qian-qian Zhu ◽  
Dong-lin Li ◽  
Ming-chun Lai ◽  
Xu-dong Chen ◽  
Wei Jin ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Endovascular Treatment ◽  
Abdominal Aortic ◽  
Abdominal Aortic Dissection ◽  
Aortic Remodeling

scholarly journals Endovascular management of a mycotic group A streptococcal abdominal aortic dissection

2017 ◽  
Vol 3 (1) ◽  
pp. 20150332
Author(s):  
John Colville ◽  
Manmohan Madan ◽  
Khalid Bashaeb ◽  
Riza Ibrahim ◽  
Abysinia Sibanda
Keyword(s):  
Aortic Dissection ◽  
Endovascular Management ◽  
Abdominal Aortic ◽  
Group A ◽  
Abdominal Aortic Dissection

scholarly journals Endovascular Treatment of Isolated Chronic Abdominal Aortic Dissection

2016 ◽  
Vol 29 (3) ◽  
pp. 224
Author(s):  
Rui Machado ◽  
Duarte Rego ◽  
Luís Loureiro ◽  
Rui Almeida
Keyword(s):  
Aortic Dissection ◽  
Endovascular Treatment ◽  
Rare Event ◽  
Endovascular Intervention ◽  
Adequate Treatment ◽  
Initial Surgery ◽  
Abdominal Aortic ◽  
Long Term Follow Up ◽  
Abdominal Aortic Dissection

Isolated acute abdominal aortic dissection is a relatively rare event. Its natural history is not fully understood and its optimal treatment is not established. Open surgery represents the most described treatment but endovascular intervention has had increasing application. Isolated chronic abdominal aortic dissection  is even less described in the literature. We describe three patients with isolated chronic abdominal aortic dissection who underwent endovascular treatment in our institution. Mean age at presentation was 82 years. Indication for surgical intervention was aneurismal degeneration. Mean aortic diameter at presentation was 46.7 mm. There was no perioperative mortality or reinterventions. Mean follow-up was 5.3 years (2-12 years). Late reintervention was needed in one patient, eight years after initial surgery, due to type 1 endoleak. According to our experience, endovascular intervention represents an effective and durable treatment option in isolated chronic abdominal aortic dissection. However, long-term follow-up is mandatory. Furthermore, larger studies are still needed to understand this disease and its adequate treatment.

Regression of a Descending Thoracoabdominal Aortic Dissection following Staged Deployment of Thoracic and Abdominal Aortic Endografts

2002 ◽  
Vol 9 (2_suppl) ◽  
pp. II-92-II-97 ◽  
Author(s):  
Rodney A. White ◽  
Carlos Donayre ◽  
Irwin Walot ◽  
James Lee ◽  
George E. Kopchok
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
False Lumen ◽  
Acute Chest Pain ◽  
Aortic Aneurysms ◽  
Abdominal Aneurysm ◽  
Entry Site ◽  
Abdominal Aortic ◽  
Thoracic And Abdominal ◽  
Thoracic Stent Graft

Purpose: To describe the successful endovascular repair and regression of an extensive descending thoracoabdominal aortic dissection associated with thoracic and abdominal aortic aneurysms. Case Report: An 83-year-old man presented with acute chest pain and shortness of breath. A descending thoracoabdominal aortic dissection that extended from near the left subclavian artery (LSA) to the right common iliac artery was found on computed tomography. Separate aneurysms in the thoracic and abdominal aorta were also identified. Staged endovascular procedures were undertaken to (1) close the single entry site and exclude the aneurysm in the thoracic aorta with an AneuRx thoracic stent-graft, (2) exclude the abdominal aneurysm and distal re-entry site with a bifurcated AneuRx endograft, and (3) treat a newly dilated thoracic segment between the LSA and first thoracic stent-graft. At 1 year, the false lumen had completely disappeared, the thoracic aneurysm had collapsed onto the endograft, and the abdominal aneurysm had shrunk by 30%. Conclusions: The potential to treat extensive aortic dissections with the hope that they might regress is promising, but repair of highly complex lesions involving one or more aneurysms in addition to the dissection requires meticulous imaging studies both preoperatively and intraprocedurally.

Diagnosis and Surgical Treatment of a Takayasu Disease on an Abdominal Aortic Dissection

2011 ◽  
Vol 25 (4) ◽  
pp. 556.e1-556.e5 ◽  
Author(s):  
Theresa Khalife ◽  
Jean-Marc Alsac ◽  
Marc Lambert ◽  
Emmanuel Messas ◽  
Jean-Paul Duong Van Huyen ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Dissection ◽  
Abdominal Aortic ◽  
Abdominal Aortic Dissection ◽  
Takayasu Disease

Endovascular Aortic Repair of Infrarenal Abdominal Aortic Dissection

2010 ◽  
Vol 76 (7) ◽  
pp. 770-773 ◽  
Author(s):  
Yifei Pei ◽  
Qingsheng Lu ◽  
Junmin Bao ◽  
Zhiqing Zhao ◽  
Zaiping Jing
Keyword(s):  
Aortic Dissection ◽  
Treatment Strategy ◽  
Open Surgery ◽  
Literature Search ◽  
Endovascular Aortic Repair ◽  
Type I ◽  
Aortic Repair ◽  
Abdominal Aortic ◽  
Type I Endoleak ◽  
Abdominal Aortic Dissection

We present two cases of infrarenal abdominal aortic dissection (IAAD) that were treated by endovascular aortic repair (EVAR). The EVAR procedure was successful, although one patient developed a proximal Type I endoleak several months after the procedure; both patients remain symptom-free more than 24 months after surgery. A literature search revealed that EVAR has been performed in only 14 cases of IAAD. Based on these 14 cases, we believe EVAR is feasible and effective for the treatment of IAAD. Moreover, this treatment strategy represents a reasonable alternative to open surgery, especially in cases of complicated juxtarenal abdominal aortic dissection.

scholarly journals Isolated abdominal aortic dissection

2014 ◽  
Vol 2014 (feb14 2) ◽  
pp. bcr2013203097-bcr2013203097 ◽  
Author(s):  
E. L. S. Tang ◽  
C. S. Chong ◽  
S. Narayanan
Keyword(s):  
Aortic Dissection ◽  
Abdominal Aortic ◽  
Abdominal Aortic Dissection
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