Endovascular fenestration and iliac stenting for acute limb ischemia caused by type B aortic dissection

被引:0
|
作者
Satam, Keyuree K. [1 ,3 ]
Alameddine, Dana [2 ]
Aboian, Edouard [2 ]
Fischer, Uwe [2 ]
Guzman, Raul J. [2 ]
Chaar, Cassius Iyad Ochoa [2 ]
机构
[1] Yale Sch Med, Div Vasc Surg & Endovasc Therapy, New Haven, CT USA
[2] Yale Sch Med, Dept Surg, Div Vasc Surg & Endovasc Therapy, New Haven, CT USA
[3] Yale Sch Med, Div Vasc Surg & Endo Vasc Therapy, 111 Pk St,Apt 11R, New Haven, CT 06510 USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2023年 / 9卷 / 01期
关键词
Endovascular fenestration; Acute limb ischemia; Type B aortic dissection; Vascular surgery; RESISTANT HYPERTENSION; MALPERFUSION; PATIENT;
D O I
10.1016/j.jvscit.2022.11.014
中图分类号
R61 [外科手术学];
学科分类号
摘要
A 60-year-old man presented with chest pain and acute limb ischemia of the right leg. He was found to have a type B aortic dissection with a flap occluding the origin of the right common iliac artery. The dissection flap was fenestrated endovascularly with the placement of a covered stent in the right common iliac artery. After 10 years, the dissection remains stable with a minimal increase in the aorta size. The stent is patent with no lower extremity symptoms or reintervention. Fenestration and stenting of the obstructing flap can be a durable reperfusion strategy for patients with aortic dissection presenting with acute limb ischemia. (J Vasc Surg Cases Innov Tech 2023;9:1-4.)
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页数:4
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