Key result
Percutaneous fenestration of dissecting intima using a transseptal needle successfully restored blood flow to the lower extremity and kidney in two patients with acute aortic dissection.
Why the study?
Does emergency percutaneous fenestration of dissecting intima improve blood flow and clinical outcomes in patients with visceral ischemia complicating acute aortic dissection?
Population
2 patients with noncardiac visceral ischemia complicating acute aortic dissection
Design
Case_series
Follow-up
10 and 5 months
Authors
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Should not yet change practice for visceral ischemia in aortic dissection; hypothesis-generating case report requiring prospective validation.
Case Report (n=2)
Does emergency percutaneous fenestration of dissecting intima improve blood flow and clinical outcomes in patients with visceral ischemia complicating acute aortic dissection?
Percutaneous fenestration using a transseptal needle and balloon catheter is a feasible and effective emergency treatment for visceral ischemia complicating acute aortic dissection.
Saito et al. (1992) conducted a case report in Noncardiac visceral ischemia complicating acute aortic dissection (n=2). Percutaneous fenestration of dissecting intima with a transseptal needle was evaluated on Restoration of blood flow and clinical outcomes. Percutaneous fenestration of dissecting intima using a transseptal needle successfully restored blood flow to the lower extremity and kidney in two patients with acute aortic dissection.
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