Thoracic Endovascular Repair by Chimney Technique for Aortic Dissection with Malperfusion Syndrome / 대한내과학회지
Korean Journal of Medicine
;
: 42-48, 2016.
Article
in Korean
| WPRIM
| ID: wpr-123571
ABSTRACT
A perfusion deficit of the aortic branch vessels in a patient with a type B aortic dissection is a challenging complication, as it leads to hemodynamic instability and doubles the mortality rate; however, the optimal management strategy in these cases remains controversial. Although surgical repair is still performed as the standard, endovascular approaches have been used recently as alternatives because of the high rate of perioperative complications. Herein, we report a patient with a type B aortic dissection and compromised renal and iliac arteries who was successfully treated by thoracic endovascular repair and insertion of a percutaneous stent. In addition, we adopted the chimney technique to preserve blood flow to the left subclavian artery due to the short proximal landing zone.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Aortic Diseases
/
Perfusion
/
Subclavian Artery
/
Stents
/
Mortality
/
Hemodynamics
/
Iliac Artery
Type of study:
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2016
Type:
Article
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