Coil-assisted false lumen thrombosis in complicated chronic type B dissection
Eric Hager1, Neil Moudgill, Adam Lipman
1Division of Vascular Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA. erichager777@yahoo.com
Journal of Vascular Surgery
|July 23, 2008
Summary
Surgical intervention for complicated Type B aortic dissections can be enhanced by using covered stent grafts and coil embolization. This novel approach aids in excluding and thrombosing the false lumen, improving treatment outcomes.
Area of Science:
- Cardiovascular Surgery
- Endovascular Therapy
- Aortic Disease
Background:
- Type B aortic dissections require surgical intervention when complicated by pain, malperfusion, or aneurysm expansion.
- Successful treatment hinges on excluding and promoting thrombosis within the aneurysm's false lumen.
Observation:
- A case is presented involving a complicated Type B aortic dissection.
- The endovascular approach utilized covered stent grafts and coil embolization of the false lumen.
Findings:
- Cessation of blood flow within the false lumen was achieved using this combined technique.
- Coil embolization within the false lumen represents a novel adjunctive method.
Implications:
- This technique offers a potentially valuable adjunct for endovascular treatment of complicated Type B aortic dissections.
- Further research may validate this approach for improving patient outcomes in aortic dissection management.
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