Coil embolization of an aneurysmal type B dissection persistent false lumen after visceral hybrid repair

J Vasc Interv Radiol. 2009 Jan;20(1):130-2. doi: 10.1016/j.jvir.2008.09.028. Epub 2008 Nov 20.

Abstract

Complex aortic dissections with subsequent dilatation may be managed by using a visceral hybrid approach. In some cases, however, there is substantial retrograde blood flow into the false lumen, leaving a pressurized aneurysmal segment. The authors describe a novel treatment method whereby successful seal of a distal type 1 endoleak was achieved with coil embolization and a liquid injectable embolic agent. The patient was followed up for 2 years without further aortic dilatation or complications.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / etiology
  • Aortic Dissection / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / instrumentation
  • Blood Vessel Prosthesis*
  • Embolization, Therapeutic / methods*
  • Female
  • Humans
  • Marfan Syndrome / complications*
  • Marfan Syndrome / diagnostic imaging
  • Marfan Syndrome / surgery
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*
  • Prosthesis Failure
  • Stents*
  • Tomography, X-Ray Computed
  • Treatment Outcome