"Cheese Wire" Fenestration of Dissection Intimal Flap to Facilitate Thoracic Endovascular Aortic Repair in Chronic Dissection

被引：12

作者：

Iwakoshi, Shinichi ^{[1
]}

Watkins, Claire A. ^{[1
]}

Ogawa, Yukihisa ^{[1
]}

Fischbein, Michael ^{[1
]}

Lee, Anson ^{[1
]}

Lee, Jason T. ^{[2
]}

Hiesinger, William ^{[1
]}

Dake, Michael D. ^{[3
,4
,5
]}

机构：

[1] Stanford Univ, Sch Med, Dept Cardiothorac Surg, 300 Pasteur Dr, Stanford, CA 94035 USA

[2] Stanford Univ, Sch Med, Dept Vasc Surg, 300 Pasteur Dr, Stanford, CA 94035 USA

[3] Univ Arizona, Dept Med Imaging, Tucson, AZ USA

[4] Univ Arizona, Dept Surg, Tucson, AZ USA

[5] Univ Arizona, Dept Med, Tucson, AZ USA

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2020年 / 31卷 / 01期

关键词：

STENT-GRAFT PLACEMENT;

D O I：

10.1016/j.jvir.2019.06.004

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Thoracic endovascular aortic repair (TEVAR) for aneurysmal chronic dissection is often complicated by retrograde filling of the false lumen and dissected distal landing zone. A "cheese wire"-style fenestration of the dissection intimal flap can create a landing zone facilitating TEVAR. This technique successfully aided TEVAR in 3 patients with an average age of 57.3 years. Complications included type III endoleak requiring relining and renal artery occlusion requiring stent placement. Average duration of clinical follow-up was 19 +/- 4 months. Imaging follow-up was 8 +/- 10 months. All patients have survived for more than 1 year without aneurysm enlargement.

引用

页码：150 / 154

页数：5

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