Endovascular "neobranching" to manage acute aortic syndrome

Catheter Cardiovasc Interv. 2017 Aug 1;90(2):298-302. doi: 10.1002/ccd.26726. Epub 2016 Sep 19.

Abstract

Acute aortic syndrome was coined in 2001 to describe a spectrum of acute aortic wall pathologies. The syndrome represents a cluster of aortic conditions such as aortic dissection, intramural hematoma and penetrating atherosclerotic ulcer. Acute aortic dissection is more common than the latter two pathologies with an incidence of up to 6 cases per 100,000 per year. The following report focuses on an unusual case presentation emphasizing the newest management techniques including "neobranching" whilst dealing with challenging patient anatomy and refractory hypertension. We believe this case report eventually broadens our understanding of acute aortic syndrome whilst addressing an entry tear outside the aorta by placing "neobranches". © 2016 Wiley Periodicals, Inc.

Keywords: acute aortic syndrome; aortic disease; aortic repair; endovascular; endovascular intervention; interventional devices/innovation; stent graft; stenting technique.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Aged
  • Aortic Diseases / diagnostic imaging
  • Aortic Diseases / physiopathology
  • Aortic Diseases / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / instrumentation
  • Blood Vessel Prosthesis Implantation / methods*
  • Computed Tomography Angiography
  • Endovascular Procedures / instrumentation
  • Endovascular Procedures / methods*
  • Humans
  • Male
  • Prosthesis Design
  • Stents
  • Syndrome
  • Treatment Outcome