Is TEVAR with Full Petticoat Technique Effective for Complicated Acute Type B Dissection Cases?

Treatment by thoracic endovascular aortic repair (TEVAR) for type B dissection has improved outcomes. We tried the procedure named “Full Petticoat technique” in which the proximal entry tear was excluded with a covered stent and extended bare metal stents were placed to the aortic bifurcation for th...

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Bibliographic Details
Published in:Annals of Vascular Diseases 2018/09/25, Vol.11(3), pp.350-354
Main Authors: Nishina, Takeshi, Yoshida, Yukiyo, Mizuno, Akihiro, Yada, Masashi, Yamanaka, Kazuo
Format: Article
Language:English
Subjects:
aortic dissection
Case Report
endovascular repair
stent graft
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Summary:Treatment by thoracic endovascular aortic repair (TEVAR) for type B dissection has improved outcomes. We tried the procedure named “Full Petticoat technique” in which the proximal entry tear was excluded with a covered stent and extended bare metal stents were placed to the aortic bifurcation for three complicated type B dissection cases with dynamic obstruction of the common iliac artery. Follow-up computed tomography revealed favorable aortic remodeling in which the true lumen was expanded. The short-term result of this procedure has shown acceptable aortic remodeling. The significance of this procedure is still unknown in the long term; hence long-term follow-up is necessary to completely understand the usefulness of this technique.
ISSN:1881-641X
1881-6428
DOI:10.3400/avd.cr.18-00020