Document Detail


Fenestration of an iatrogenic aortic dissection after endovascular aneurysm repair.
MedLine Citation:
PMID:  21521069     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Abstract Purpose: To present a case of percutaneous fenestration of a type B aortic dissection after endovascular aneurysm repair (EVAR). Case Report: An 82-year-old patient with an earlier conventionally inserted aortobi-iliac prosthesis presented with a proximal anastomotic pseudoaneurysm, which was excluded successfully by EVAR. Standard follow-up computed tomographic angiography (CTA) 48 hours after the procedure, however, revealed a type B aortic dissection. Despite conservative antihypertensive therapy, the patient developed abdominal and back pain, and intervention was indicated. Endovascular balloon fenestration of the intimal flap was performed, resulting in relief of pain even though the false lumen remained patent. At 8 months after the procedure, the patient was symptom free, and CTA showed no progression of the persistent type B dissection. Conclusion: Percutaneous fenestration can be used as a therapy of first choice in patients with an acute aortic dissection post EVAR.
Authors:
Jip L Tolenaar; Jasper W van Keulen; Evert-Jan Vonken; Joost A van Herwaarden; Frans L Moll; Gert J de Borst
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  18     ISSN:  1545-1550     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-04-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-60     Citation Subset:  IM    
Affiliation:
1 Department of Vascular Surgery, University Medical Center Utrecht, The Netherlands.
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