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Placement of a branched stent graft into the false lumen of a chronic type B aortic dissection

Dominic Simring1, Jowad Raja, Luke Morgan-Rowe

  • 1Multi-Disciplinary Endovascular Team, University College London Hospital, London, United Kingdom. domsimring@hotmail.com

Journal of Vascular Surgery
|July 26, 2011
PubMed

Insights

Treating chronic type B aortic dissections is difficult. A novel branched stent graft placed in the false lumen successfully excluded the true lumen while preserving visceral artery flow in a challenging case.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Research
  • Medical Device Innovation

Background:

  • Chronic type B aortic dissection treatment is complex, with high complication rates for open and endovascular repairs.
  • Standard endovascular repair aims to exclude the false lumen by stenting the true lumen.
  • Existing treatments for chronic type B aortic dissection have limitations and significant risks.

Observation:

  • A case report details a novel endovascular approach for chronic type B aortic dissection.
  • A branched stent graft was intentionally placed into the false lumen.
  • This strategy aimed to promote true lumen thrombosis and false lumen exclusion.

Findings:

  • The branched stent graft successfully excluded the true lumen.
  • Visceral artery flow was maintained throughout the procedure.
  • This approach offers a potential alternative for complex chronic type B aortic dissections.

Implications:

  • This case suggests a potential new endovascular strategy for complex chronic type B aortic dissections.
  • Further research may explore the efficacy and safety of false lumen stenting.
  • This technique could improve outcomes for patients with challenging aortic dissections.

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