Why the study?
Does percutaneous management with a separating stent-graft induce false-lumen thrombosis in patients with Stanford type B aortic dissection?
Does percutaneous management with a separating stent-graft induce false-lumen thrombosis in patients with Stanford type B aortic dissection?
Percutaneous management of Stanford type B aortic dissection with a separating stent-graft successfully induced false-lumen thrombosis in a small preliminary series without requiring cutdown or blood pressure control.
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Supports percutaneous separating stent-graft feasibility in type B dissection; hypothesis-generating and should not yet change practice.
The authors used a separating stent-graft to treat Stanford type B aortic dissection. The separating stent-graft consists of two stents: a stent-graft and an inner bare stent. The separating stent-graft has three parts: a proximal stent, a graft made of synthetic polyester textile fiber, and a distal stent. A 12-F introducing sheath was used. After the separating stent-graft was placed, false-lumen thrombosis was evident in all six patients during a follow-up period of 206 days. The major advantages of this technique are that a cutdown and blood pressure control are not required.
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Kang et al. (2001) studied this question.
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