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Updated: May 27, 2026
08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Stenting for acute aortic dissection with malperfusion as "bridge therapy".
Wakako Fujita1, Satoshi Taniguchi, Kazuyuki Daitoku
1Department of Thoracic & Cardiovascular Surgery, Hirosaki University School of Medicine, Hirosaki City, 036-8562 Aomori, Japan. wakakofujita@hotmail.com
Texas Heart Institute Journal
|January 13, 2011
Summary
Endovascular stents can be used as bridge therapy for acute type A aortic dissection patients with peripheral vascular compromise. This approach can stabilize patients before definitive surgical repair, reducing mortality risks.
Area of Science:
- Cardiovascular Surgery
- Vascular Endovascular Therapy
- Aortic Dissection
Background:
- Acute type A aortic dissection typically requires immediate surgical repair.
- Early surgery in dissections with peripheral vascular compromise has a high mortality rate.
Observation:
- A case of acute type A aortic dissection with lower-extremity malperfusion is presented.
- Percutaneous endovascular bare-metal stents were placed in the abdominal aorta and left external iliac artery.
Findings:
- Endovascular stenting successfully reestablished flow in the true channel, immediately relieving ischemic symptoms.
- The patient subsequently underwent hemi-arch replacement 7 days after the endovascular procedure.
Implications:
- Percutaneous endovascular stenting can serve as a valuable bridge therapy for acute aortic dissection with malperfusion.
- This strategy may improve outcomes by stabilizing patients before definitive surgical intervention.
- It offers a less invasive option to manage critical limb ischemia in this high-risk population.
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