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Targeting fenestrations in an aortic aneurysm secondary to chronic type A or B dissections: a case series

Using entry and re-entry analysis we report a simple technique designed to solely manage the fenestrations in an aortic aneurysm caused by chronic type A or B dissections. With meticulous computed tomography mapping of each fenestration, endovascular management can be customized to those areas only....

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Detalles Bibliográficos
Autores principales: Speter, Chen, Silverberg, Daniel, Segev, Tal, Moshe, Halak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261534/
https://www.ncbi.nlm.nih.gov/pubmed/34278064
http://dx.doi.org/10.1016/j.jvscit.2021.05.014
Descripción
Sumario:Using entry and re-entry analysis we report a simple technique designed to solely manage the fenestrations in an aortic aneurysm caused by chronic type A or B dissections. With meticulous computed tomography mapping of each fenestration, endovascular management can be customized to those areas only. Several cases are presented using this selective approach resulting in durable thrombosis of the false lumen. Targeted coverage of fenestrations in a chronic type B dissecting aneurysm is a feasible and effective management option resulting in reliable false lumen occlusion whilst maintaining visceral perfusion.