Manke, Christoph and Strotzer, M. and Seitz, J. and Lenhart, M. and Aebert, H. and Kasprzak, P. and Kaiser, B. and Feuerbach, S. (1999) Ischemic complications in aortic dissection - percutaneous treatment with balloon fenestration and stent implantation. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 170 (2). pp. 198-204. ISSN 1438-9029, 1438-9010
Full text not available from this repository. (Request a copy)Abstract
Purpose: To describe principles and results of percutaneous treatment of ischemic complications of aortic dissection. Materials and Methods: In five cases (four patients) aortic dissection was clinically complicated by renal (n = 4), iliofemoral (n = 2) or mesenterial ischemia (n = 1). After evaluation by means of computed tomography, angiography, and manometry, treatment consisted of balloon fenestration of the intimal flap, stent placement or both. Results: Eleven of 25 vascular beds were classified as ischemic. Treatment consisted of 11 balloon fenestration procedures in 3 patients, in one case supported by stent placement across the dissection membrane. Stents were placed in five renal arteries, one stent was placed in the true lumen of the aorta. One iliac artery was treated with balloon dilatation. One renal artery dissection became symptomatic after balloon fenestration and was treated successfully by stent placement. In all cases ischemia was resolved by endovascular treatment. All patients had persistent relief of symptoms. Mean follow-up time is 5.8 months. Conclusion: Ischemic complications of aortic dissection can be effectively and safely treated with stent placement and balloon fenestration.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LOWER-LIMB ISCHEMIA; VASCULAR COMPLICATIONS; RELIEF; ANEURYSMS; PATIENT; aorta, dissection; aorta, stenosis or obstruction; aorta, transluminal angioplasty; renal arteries, stenosis or obstruction; renal arteries, transluminal angioplasty |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie Medicine > Lehrstuhl für Innere Medizin II Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Nov 2022 14:19 |
| Last Modified: | 22 Nov 2022 14:19 |
| URI: | https://pred.uni-regensburg.de/id/eprint/48571 |
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