Key result
Endovascular repair using Excluder, IVUS, and Pioneer catheter successfully treats AAA with concomitant dissection.
Case Report
Endovascular repair of an abdominal aortic aneurysm with concomitant chronic dissection can be successfully achieved using an intravascular ultrasound-guided reentry catheter.
Endovascular repair may be feasible for dissection within AAA; leaves open questions on lumen management and durability.
The incidence of aortic dissection is rare (approximately 10 cases per 1 million inhabitants' year), and reports of an associated aortic dissection within an abdominal aortic aneurysm (AAA) are anecdotal. Historically, such a dissection was treated by operation, but operative risks often excluded patients from intervention. An endovascular approach appears to be more advantageous, but concerns regarding "true" versus "false" lumens and the presence of an intimal flap make an endovascular intervention potentially hazardous. In this report, the authors describe a novel endovascular repair of an AAA with an Excluder device and the successful treatment of a concomitant abdominal aortic dissection using intravascular ultrasound and a Pioneer guided reentry catheter.
No takes yet. Share an insight, caveat, or question.
Lai et al. (2008) conducted a case report in Abdominal aortic aneurysm with chronic dissection. Endovascular repair using an Excluder device, intravascular ultrasound, and a Pioneer guided reentry catheter was evaluated on Successful treatment of concomitant abdominal aortic dissection. Endovascular repair of an abdominal aortic aneurysm with concomitant dissection was successfully performed using an Excluder device, intravascular ultrasound, and a Pioneer guided reentry catheter.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: