Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 903-910.e3 , May 2008

A single-center experience treating renal malperfusion after aortic dissection with central aortic fenestration and renal artery stenting

Presented at the 2007 Annual Meeting of the Midwestern Vascular Surgical Society, Chicago, Ill, Sep 6-8, 2007.

  • Dawn M. Barnes, MD

      Affiliations

    • Sections of Vascular
    • Corresponding Author InformationReprint requests: Gilbert R. Upchurch, Jr., MD, Section of Vascular Surgery, CVC 5463, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5867
    • ,
  • David M. Williams, MD

      Affiliations

    • Department of Surgery; Section of Interventional Radiology
    • ,
  • Narasimham L. Dasika, MD

      Affiliations

    • Department of Surgery; Section of Interventional Radiology
    • ,
  • Himanshu J. Patel, MD

      Affiliations

    • Cardiothoracic Surgery
    • ,
  • Alan B. Weder, MD

      Affiliations

    • Department of Radiology; and the Department of Internal Medicine, University of Michigan
    • ,
  • James C. Stanley, MD

      Affiliations

    • Sections of Vascular
    • ,
  • G. Michael Deeb, MD

      Affiliations

    • Cardiothoracic Surgery
    • ,
  • Gilbert R. Upchurch Jr, MD

      Affiliations

    • Sections of Vascular

Received 6 September 2007 ,Accepted 16 December 2007.

References 

  1. Lauterbach SR, Cambria RP, Brewster DC, Gertler JP, Lamuraglia GM, Isselbacher EM, et al. Contemporary management of aortic branch compromise resulting from acute aortic dissection. J Vasc Surg. 2001;33:1185–1192
  2. Girardi LN, Krieger KH, Lee LY, Mack CA, Tortolani AJ, Isom OW. Management strategies for type A dissection complicated by peripheral vascular malperfusion. Ann Thorac Surg. 2004;77:1309–1314
  3. Pate JW, Richardson RJ, Estridge CE. Acute aortic dissections. Ann Surg. 1976;42:395–404
  4. Hirst AE, Johns VJ, Klime SW. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine. 1958;37:217–219
  5. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD)–new insights into an old disease. JAMA. 2000;283:897–903
  6. DeBakey ME, McCollum CH, Crawfor ES, Morris GC, Howell J, Noon GP, et al. Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery. 1982;92:1118–1134
  7. Slonim SM, Nyman U, Semba CP, Miller DC, Mitchell RS, Dake MD. Aortic dissection: percutaneous management of ischemic complications with endovascular stents and balloon fenestration. J Vasc Surg. 1996;23:241–253
  8. Fann JI, Sarris GE, Mitchell RS, Shumway NE, Stinson EB, Oyer PE, et al. Treatment of patients with aortic dissection presenting with peripheral vascular complications. Ann Surg. 1990;212:705–713
  9. Cambria RP, Brewster DC, Gertler J, Moncure AC, Gusberg R, Tilson MD, et al. Vascular complications associated with spontaneous dissection. J Vasc Surg. 1988;7:199–209
  10. Chavan A, Hausmann D, Dresler C, Rosenthal H, Jaeger K, Haverich A, et al. Intravascular ultrasound-guided percutaneous fenestration of the intimal flap in the dissected aorta. Circulation. 1997;96:2124–2127
  11. Yagdi T, Atay Y, Engin C, Mahmudov R, Tetik O, Lyem H, et al. Impact of organ malperfusion on mortality and morbidity in acute A aortic dissections. J Card Surg. 2006;21:363–369
  12. Henke PK, Williams DM, Upchurch GR, Proctor M, Cooper JV, Fang J, et al. Acute limb ischemia associated with type B aortic dissection: clinical relevance and therapy. Surgery. 2006;140:532–539
  13. Upchurch GR, Nienaber C, Fattori R, Evangelista A, Oh J, Cooper JV, et al. Acute aortic dissection presenting with primarily abdominal pain: a rare manifestation of a deadly disease. Ann Vasc Surg. 2005;19:367–373
  14. Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. Ann Thorac Surg. 1970;10:237–247
  15. Williams DM, Lee DY, Hamilton BH, Marx MV, Narasimham DL, Kazanjian SN, et al. The dissected aorta: part III. Anatomy and radiologic diagnosis of branch-vessel compromise. Radiology. 1997;203:37–44
  16. Williams DM, Lee DY, Hamilton BH, Marx MV, Narasimham DL, Kazanjian SN, et al. The dissected aorta: percutaneous treatment of ischemic complications—principles and results. J Vasc Interv Radiol. 1997;8:605–625
  17. Beregi JP, Haulon S, Otal P, Thony F, Bartoli JM, Crochet D, et al. Endovascular treatment of acute complications associated with aortic dissection: midterm results from a multi-center study. J Endovasc Ther. 2003;10:486–493
  18. Miller DC, Mitchell RS, Oyer PE, Stinson JM, Jamieson SW, Shumway NE. Independent determinants of operative mortality for patients with aortic dissections. Circulation. 1984;70:I153–I164
  19. Deeb GM, Williams DM, Bolling SF, Quint LE, Monaghan H, Sievers J, et al. Surgical delay for acute type A dissection with malperfusion. Ann Thorac Surg. 1997;64:1669–1675
  20. Slonim SM, Miller DC, Mitchell RS, Semba CP, Razavi MK, Dake MD. Percutaneous balloon fenestration and stenting for life-threatening ischemic complications in patients with acute aortic dissection. J Thorac Cardiovasc Surg. 1999;117:1118–1127
  21. Hsu RB, Ho YL, Wang SS, Lin FY, Chu SH. Outcome of medical and surgical treatment in patients with acute type B aortic dissection. Ann Thorac Surg. 2005;79:790–794
  22. Fann JI, Smith JA, Miller DC, Mitchell RS, Moore KA, Grunkemeier G, et al. Surgical management of aortic dissection during a 30-year period. Circulation. 1995;92(9 suppl):II113–II121
  23. Shiiya N, Matsuzaki K, Kunihara T, Murashita T, Matsui Y. Management of vital organ malperfusion in acute aortic dissection: proposal of a mechanism-specific approach. Gen Thorac Cardiovasc Surg. 2007;55:85–90
  24. Estrera AL, Miller CC, Goodrick J, Porat EE, Achouh PE, Dhareshwar J, et al. Update on outcomes of acute type B aortic dissection. Ann Thorac Surg. 2007;83:S842–S845
  25. Dake MD, Kato N, Mitchell RS, Semba CP, Razavi M, Shimono T, et al. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med. 1999;340:1546–1552
  26. Dake MD, Wang DS. Will stent-graft repair emerge as treatment of choice for acute type B dissection?. Semin Vasc Surg. 2006;19:40–47
  27. Walker PJ, Dake MD, Mitchell RS, Miller DC. The use of endovascular techniques for the treatment of complications of aortic dissection. J Vasc Surg. 1993;18:1042–1051

 Additional material for this article may be found online at www.jvascsurg.org.

 Competition of interest: none.

 CME article

PII: S0741-5214(08)00015-3

doi: 10.1016/j.jvs.2007.12.057

Journal of Vascular Surgery
Volume 47, Issue 5 , Pages 903-910.e3 , May 2008

Article Tools

* Image Usage & Resolution