Cor Vasa 2003, 44(3):152-155
Endovascular therapy of aortic dissection
- 1 II. interní klinika
- 2 Kardiochirurgické oddělení, Fakultní nemocnice Královské Vinohrady a 3. lékařská fakulta Univerzity Karlovy, Praha, Česká republika
Ten patients with a primary intimal tear in the descending aorta were treated using 12 stent-grafts (Talent, Medtronic AVE, USA). Dissection types included Stanford type A (n = 2) and type B (n = 8), five dissections were acute with aortic perforation in three cases. All procedures but one were performed under epidural anesthesia and three self-expandable nitinol stents were used for iliac artery recanalization or exclusion of a peripheral re-entry. The entry tear was excluded completely in 80% of patients (8 of 10) without periprocedural complications. There was no death during hospitalization or follow-up (mean follow-up period was 13 months). One patient developed transient sepsis due to colon reperfusion after aortic stent-graft placement.
Stent-graft implantation is a safe and effective method for excluding a primary entry located in the descending aorta. The technique has a potential to save the life of critically ill patients with dissection complicated by aortic perforation.
Keywords: Aortic dissection; Aortic rupture; Stent-graft; Aortic aneurysm; Percutaneous transluminal angioplasty; Critical care
Published: March 1, 2003 Show citation