Journal of Vascular Surgery
Volume 49, Issue 3 , Pages 561-566 , March 2009

Early outcomes after endovascular management of acute, complicated type B aortic dissection

Presented at the Society for Vascular Surgery Annual Meeting, San Diego, Calif, Jun 5-8, 2008.

  • Robert J. Feezor, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Tomas D. Martin, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Philip J. Hess Jr, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Thomas M. Beaver, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • Charles T. Klodell, MD

      Affiliations

    • Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Gainesville, Fla
    • ,
  • W. Anthony Lee, MD

      Affiliations

    • Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, Fla
    • Corresponding Author InformationCorrespondence: W. Anthony Lee, MD, Division of Vascular Surgery and Endovascular Therapy, 1600 SW Archer Rd, Ste NG-45, PO Box 100286, Gainesville, FL 32610-0286

Received 21 May 2008 ,Accepted 17 September 2008.

  • Image Result

    Distribution of pathologies treated with thoracic endovascular aneurysm repair during the study period. AD, Acute, complicated type B dissections; APU, aortic penetrating ulcers; BTT, blunt traumatic

    Distribution of pathologies treated with thoracic endovascular aneurysm repair during the study period. AD, Acute, complicated type B dissections; APU, aortic penetrating ulcers; BTT, blunt traumatic transections; CD, chronic dissections; dTAA, descending thoracic aortic aneurysms repaired with TAG and other devices under an investigational device exemption clinical trial; hybrid, includes both abdominal visceral and thoracic arch debranching procedures.

  • Image Result
    Rupture from an acute type B dissection. Note the large left hemothorax, which was drained by tube thoracostomy after endovascular repair.

    Rupture from an acute type B dissection. Note the large left hemothorax, which was drained by tube thoracostomy after endovascular repair.

  • Image Result
    Multiplanar reformation of a computed tomography angiogram shows the measurements of the proximal landing zone that were used to determine anatomic suitability and endograft selection.

    Multiplanar reformation of a computed tomography angiogram shows the measurements of the proximal landing zone that were used to determine anatomic suitability and endograft selection.

  • Image Result
    Thick maximum intensity projection of adjunctive aortic branch vessel stenting that was required to treat malperfusion due to residual static flaps. Note the self-expanding nitinol stent (Protégé, ev3

    Thick maximum intensity projection of adjunctive aortic branch vessel stenting that was required to treat malperfusion due to residual static flaps. Note the self-expanding nitinol stent (Protégé, ev3, Plymouth, Minn) in the superior mesenteric artery and a balloon-expandable covered stent (iCAST, Atrium Medical, Hudson, NH) in the left renal artery.

 Competition of interest: none.

PII: S0741-5214(08)01797-7

doi: 10.1016/j.jvs.2008.09.071

Journal of Vascular Surgery
Volume 49, Issue 3 , Pages 561-566 , March 2009

Article Tools

* Image Usage & Resolution