Key result
Emergent thoracic endovascular aortic repair using a flexible, custom-made Matsui-Kitamura stent graft successfully treated acute type-B aortic dissection complicated by malperfusion.
Case Report (n=1)
No
Emergent TEVAR using a flexible, custom-made Matsui-Kitamura stent graft was successfully used to treat acute type-B aortic dissection with malperfusion.
Answers are grounded in this paper and cite their sources.
Supports feasibility of custom flexible grafts in select malperfusion cases; single-case data leave generalizability and durability unproven.
Acute type-B aortic dissection with malperfusion is a serious cardiovascular condition associated with high morbidity and mortality. Recent studies have investigated the efficacy of thoracic endovascular aortic repair (TEVAR) as treatment for acute aortic dissection. In this report, we present a case of acute type-B aortic dissection complicated with malperfusion, which was successfully treated with emergent TEVAR for entry closure by a Matsui-Kitamura stent graft (MKSG). MKSG is a flexible custom-made curved stent graft. The main advantages of MKSG for emergent TEVAR include flexibility, shape, and small profile when compressed.
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Nishida et al. (2011) conducted a case report in Acute type-B aortic dissection with malperfusion (n=1). Thoracic endovascular aortic repair (TEVAR) using Matsui-Kitamura stent graft (MKSG) was evaluated on Successful deployment, entry occlusion, and resolution of ischemic symptoms. Emergent thoracic endovascular aortic repair using a flexible, custom-made Matsui-Kitamura stent graft successfully treated acute type-B aortic dissection complicated by malperfusion.
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