Cor Vasa 2025, 67(Suppl.3):60-62 | DOI: 10.33678/cor.2024.093
Off label treatment of intraabdominal dissection with iliac stent graft extension. A case report
- Vascular Surgery Department, Acibadem City Clinic Umbal Tokuda, Sofia, Bulgaria
Aortic dissection limited to the abdominal aorta is an uncommon condition, accounting for only 1% to 4% of all aortic dissections. There is limited evidence on the optimal management of symptomatic isolated abdominal aortic dissections (IAAD). The two primary interventional methods are open surgery and the endovascular approach. Treating nonaneurysmal aortic disease is challenging with conventional stent-graft systems due to limb competition in a narrow distal aorta. This case report describes our clinical experience with an off-label endovascular treatment for an asymptomatic infrarenal aortic dissection, accompanied by severe aortic atherosclerosis, in a female patient. The patient was scheduled for a transcatheter aortic valve implantation (TAVI) procedure, and an aortic endograft limb extension was used to ensure an adequate pathway for the procedure.
Keywords: Aortic dissection, Endovascular management of abdominal aortic dissections, Isolated abdominal aortic dissections
Received: August 25, 2024; Revised: November 13, 2024; Accepted: November 15, 2024; Prepublished online: August 6, 2025; Published: September 1, 2025 Show citation
References
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- Jawadi N, Bisdas T, Torsello G, et al. Endovascular Treatment of Isolated Abdominal Aortic Dissections: Long-term Results. J Endovasc Ther 2014;21:324-328. Go to original source... Go to PubMed...
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