Key result
A novel radical endovascular repair technique excluding all tears successfully managed disseminated intravascular coagulation and achieved complete false lumen thrombosis in 2 patients at 6 months.
Why the study?
Does a novel radical endovascular repair technique excluding all tears manage DIC in patients with type B aortic dissection?
Case Report (n=2)
Does a novel radical endovascular repair technique excluding all tears manage DIC in patients with type B aortic dissection?
A novel endovascular repair technique excluding all tears appears feasible and effective for managing DIC secondary to type B aortic dissection.
May support feasibility of complete tear-excluding endovascular repair for DIC in type B dissection; hypothesis-generating and requires prospective validation.
Disseminated intravascular coagulation (DIC) secondary to type B aortic dissection is an unusual and fatal complication that has not been fully investigated. The aim of our study is to report a novel endovascular technique excluding all tears to manage DIC. From April 2017 to October 2017, we performed 2 cases of DIC complicated to type B aortic dissection using this novel radical endovascular repair technique. Clinical data of patients were collected and technical details were presented. These two cases were successfully treated with novel radical endovascular repair technique. DIC was managed and FL thrombosis was formed in these two patients. Follow-up at 6 months revealed no recurrent DIC and a stable aortic diameter with complete FL thrombosis. This endovascular repair technique that excluding all the tears is a feasible approach to prevents continuous coagulation components consumption and thus to manage DIC effectively.
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Wang et al. (2018) conducted a case report in Disseminated intravascular coagulation (DIC) secondary to type B aortic dissection (n=2). Novel radical endovascular repair technique excluding all tears was evaluated on Management of DIC and formation of false lumen thrombosis. A novel radical endovascular repair technique excluding all tears successfully managed disseminated intravascular coagulation and achieved complete false lumen thrombosis in 2 patients at 6 months.
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