Key result
Endovascular repair of acute type A aortic dissection using a stent-in-stent technique successfully treated a 91-year-old man and demonstrated repair durability at 1-year follow-up.
Why the study?
Endovascular treatment is a viable alternative in high-risk patients with acute type A aortic dissection, but the optimal strategy remains evolving.
Does endovascular repair using a stent-in-stent technique provide durable repair in a nonagenarian with acute type A aortic dissection?
Does endovascular repair using a stent-in-stent technique provide durable repair in a nonagenarian with acute type A aortic dissection?
Endovascular repair using a stent-in-stent technique may be a viable and durable alternative for acute type A aortic dissection in high-risk nonagenarian patients.
Supports feasibility in select high-risk type A dissection cases; leaves open need for prospective validation of safety and durability.
Endovascular treatment is a viable alternative therapy in high-risk patients with acute type A aortic dissection. However, the optimal endovascular treatment strategy is still evolving. Herein, we present a case of a 91-year-old man who successfully underwent repair of an ascending aortic dissection using a stent-in-stent technique. At 1-year follow-up, the stent demonstrated repair durability.
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Wamala et al. (2019) studied this question. Endovascular repair of acute type A aortic dissection using a stent-in-stent technique successfully treated a 91-year-old man and demonstrated repair durability at 1-year follow-up.
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