False lumen embolization as a rescue technique in the setting of acute and chronic dissecting aneurysms as adjunct to thoracic endovascular aortic repair
False lumen embolization as a rescue technique in the setting of acute and chronic dissecting aneurysms as adjunct to thoracic endovascular aortic repair
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DOI：
10.1016/j.jvscit.2019.12.004
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发表时间：
2020-03-01
影响因子：
--
通讯作者：
Abai, Babak
中科院分区：
文献类型：
--
作者：
Rakestraw, Stephanie;Feghali, Anthony;Abai, Babak
复杂性B型主动脉夹层（TBAD）是一种危及生命的疾病，需要手术干预。急性或慢性的并发症之一是动脉瘤变性。剥离的主动脉壁被削弱，假腔内的压力通常很高。在过去的十年中，胸椎血管内主动脉修复术（TEVAR）已成为治疗TBAD的首选方法。TEVAR可因缺乏假腔血栓形成而复杂化，从而增加死亡风险。我们报告了三例经假腔线圈栓塞治疗的TEVAR术后TBAD伴假腔未闭的病例。（中华外科杂志2020；6:110-7）
Complicated type B aortic dissection (TBAD) is a life-threatening condition requiring surgical intervention. One such complication in the acute or chronic setting is aneurysmal degeneration. The dissected aortic wall is weakened, and the pressures in the false lumen are often high. In the past decade, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice for TBAD. TEVAR can be complicated by lack of false lumen thrombosis, increasing the risk of death. We present three cases of TBAD with patent false lumens after TEVAR that were treated by false lumen coil embolization. (J Vasc Surg Cases and Innovative Techniques 2020;6:110-7.)