Key result
Proximal endovascular extension successfully manages acute retrograde dissection after fenestrated and branched EVAR for TAAA.
Why the study?
Retrograde aortic dissection after fenestrated and branched endovascular abdominal aortic repair is rare, with unclear incidence, risk factors, and treatment options.
Case Report (n=1)
Proximal endovascular extension can successfully manage acute retrograde dissection following fenestrated and branched endovascular aortic repair.
Answers are grounded in this paper and cite their sources.
May warrant consideration as bailout for acute retrograde dissection post-F/BEVAR; leaves open prospective validation of safety and durability.
Retrograde aortic dissection is a rare but potentially catastrophic complication after endovascular aortic repair. Reports in the literature regarding retrograde dissection after fenestrated and branched endovascular abdominal aortic repair are rare, and the incidence, risk factors, and treatment options for this complication have not yet been clearly established. Additionally, retrograde dissection after previous intervention can pose technical challenges and increases the risk of spinal cord ischemia during subsequent repair. We present a patient with an acute retrograde dissection after a fenestrated and branched endovascular aortic repair for an extent III thoracoabdominal aortic aneurysm successfully managed with proximal endovascular extension.
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Reinfeld et al. (2023) conducted a case report in Retrograde aortic dissection after fenestrated and branched endovascular aortic repair (n=1). Proximal endovascular extension was evaluated. Proximal endovascular extension successfully managed an acute retrograde dissection following fenestrated and branched endovascular aortic repair for an extent III thoracoabdominal aortic aneurysm.
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