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Complications after endovascular repair of type B aortic dissection

Reinhard S Pamler1, Thomas Kotsis, Johannes Görich

  • 1Department of Thoracic and Vascular Surgery, University of Ulm, Germany. reinhard.palmer@medizin.uni-ulm.de

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
|January 28, 2003
PubMed

Insights

Endovascular stent-grafting for type B aortic dissection is feasible but carries significant complication risks. Careful reporting of these sequelae is crucial for understanding treatment limitations.

Area of Science:

  • Cardiovascular Surgery
  • Endovascular Interventions
  • Aortic Diseases

Background:

  • Type B aortic dissection poses significant risks.
  • Endoluminal treatment offers a less invasive approach.
  • Complications of endovascular repair require thorough investigation.

Purpose of the Study:

  • To detail complications following endovascular stent-grafting in type B aortic dissection.
  • To assess the feasibility and risks of this treatment modality.

Main Methods:

  • 14 patients with type B aortic dissection underwent aortic stent-grafting between 1999-2001.
  • The left subclavian artery was intentionally covered in 9 patients.
  • Follow-up was conducted at 6-month intervals.

Main Results:

  • Stent-grafting was technically successful, but 4 patients required additional grafts for endoleaks.
  • Complications included 2 cases of secondary type A dissection, 1 sustained hemorrhage, and 1 intramural hematoma.
  • Left subclavian artery coverage was managed without bypass in 9 patients; patency was maintained in 5.
  • One patient developed persistent anterior spinal artery syndrome.

Conclusions:

  • Stent-grafting is a viable option for type B aortic dissection.
  • A considerable rate of complications is associated with this procedure.
  • Transparent reporting of complications is essential for defining the limitations of endovascular repair.
Abstract

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