Aortic stent grafting and side-branch embolization in an expanding chronic type B dissection
Objective: This is a report of endovascular treatment of a case of type B thoracoabdominal aortic dissection in a patient with progressive dyspnea, dorsolumbar pain, and expanding aortic diameter over a 1-year period. Methods: Pretreatment imaging evaluation showed that the false lumen supplied only...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 1999-12, Vol.118 (6), p.1021-1025 |
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| container_title | The Journal of thoracic and cardiovascular surgery |
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| creator | d’Othée, Bertrand Janne Rousseau, Hervé Soula, Philippe Dongay, Bruno Millan, Maria Ines Galinier, Michel Massabuau, Pierre Joffre, Francis Otal, Philippe |
| description | Objective: This is a report of endovascular treatment of a case of type B thoracoabdominal aortic dissection in a patient with progressive dyspnea, dorsolumbar pain, and expanding aortic diameter over a 1-year period.
Methods: Pretreatment imaging evaluation showed that the false lumen supplied only the celiac trunk. Endovascular treatment combined (1) embolization of the first segment of the celiac trunk to avoid distal back-flow into the false lumen and (2) stent grafting to occlude the initial entry tear.
Results: The treatment resulted in technical and clinical success. The patient remains asymptomatic 12 months after treatment.
Conclusion: Stent grafting offers an interesting therapeutic alternative to exclude the initial entry tear in aortic dissection and may be combined with other endovascular procedures. (J Thorac Cardiovasc Surg 1999; 118:1021-5) |
| doi_str_mv | 10.1016/S0022-5223(99)70096-6 |
| format | Article |
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Methods: Pretreatment imaging evaluation showed that the false lumen supplied only the celiac trunk. Endovascular treatment combined (1) embolization of the first segment of the celiac trunk to avoid distal back-flow into the false lumen and (2) stent grafting to occlude the initial entry tear.
Results: The treatment resulted in technical and clinical success. The patient remains asymptomatic 12 months after treatment.
Conclusion: Stent grafting offers an interesting therapeutic alternative to exclude the initial entry tear in aortic dissection and may be combined with other endovascular procedures. (J Thorac Cardiovasc Surg 1999; 118:1021-5)</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/S0022-5223(99)70096-6</identifier><identifier>PMID: 10595973</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Aneurysm, Dissecting - therapy ; Aneurysm, False - therapy ; Aortic Aneurysm, Abdominal - therapy ; Aortic Aneurysm, Thoracic - therapy ; Biological and medical sciences ; Blood Vessel Prosthesis Implantation ; Celiac Artery ; Chronic Disease ; Diseases of the cardiovascular system ; Embolization, Therapeutic ; Follow-Up Studies ; Humans ; Male ; Medical sciences ; Middle Aged ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Stents ; Treatment Outcome</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 1999-12, Vol.118 (6), p.1021-1025</ispartof><rights>1999 Mosby, Inc.</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-8e8405a956fafd225884c7d5ef0cd1c93819101b47fa43c1944e2b010bad04323</citedby><cites>FETCH-LOGICAL-c470t-8e8405a956fafd225884c7d5ef0cd1c93819101b47fa43c1944e2b010bad04323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022522399700966$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1203040$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10595973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>d’Othée, Bertrand Janne</creatorcontrib><creatorcontrib>Rousseau, Hervé</creatorcontrib><creatorcontrib>Soula, Philippe</creatorcontrib><creatorcontrib>Dongay, Bruno</creatorcontrib><creatorcontrib>Millan, Maria Ines</creatorcontrib><creatorcontrib>Galinier, Michel</creatorcontrib><creatorcontrib>Massabuau, Pierre</creatorcontrib><creatorcontrib>Joffre, Francis</creatorcontrib><creatorcontrib>Otal, Philippe</creatorcontrib><title>Aortic stent grafting and side-branch embolization in an expanding chronic type B dissection</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Objective: This is a report of endovascular treatment of a case of type B thoracoabdominal aortic dissection in a patient with progressive dyspnea, dorsolumbar pain, and expanding aortic diameter over a 1-year period.
Methods: Pretreatment imaging evaluation showed that the false lumen supplied only the celiac trunk. Endovascular treatment combined (1) embolization of the first segment of the celiac trunk to avoid distal back-flow into the false lumen and (2) stent grafting to occlude the initial entry tear.
Results: The treatment resulted in technical and clinical success. The patient remains asymptomatic 12 months after treatment.
Conclusion: Stent grafting offers an interesting therapeutic alternative to exclude the initial entry tear in aortic dissection and may be combined with other endovascular procedures. (J Thorac Cardiovasc Surg 1999; 118:1021-5)</description><subject>Aneurysm, Dissecting - therapy</subject><subject>Aneurysm, False - therapy</subject><subject>Aortic Aneurysm, Abdominal - therapy</subject><subject>Aortic Aneurysm, Thoracic - therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Celiac Artery</subject><subject>Chronic Disease</subject><subject>Diseases of the cardiovascular system</subject><subject>Embolization, Therapeutic</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Results: The treatment resulted in technical and clinical success. The patient remains asymptomatic 12 months after treatment.
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| subjects | Aneurysm, Dissecting - therapy Aneurysm, False - therapy Aortic Aneurysm, Abdominal - therapy Aortic Aneurysm, Thoracic - therapy Biological and medical sciences Blood Vessel Prosthesis Implantation Celiac Artery Chronic Disease Diseases of the cardiovascular system Embolization, Therapeutic Follow-Up Studies Humans Male Medical sciences Middle Aged Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Stents Treatment Outcome |
| title | Aortic stent grafting and side-branch embolization in an expanding chronic type B dissection |
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