Transesophageal echocardiography–guided algorithm for stent-graft implantation in aortic dissection Guido Rocchi, MD, Carla Lofiego, MD, Elena Biagini,

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Presentation transcript:

Transesophageal echocardiography–guided algorithm for stent-graft implantation in aortic dissection Guido Rocchi, MD, Carla Lofiego, MD, Elena Biagini, MD, Tommaso Piva, MD, Giovanni Bracchetti, MD, Luigi Lovato, MD, Mario Parlapiano, MD, Marinella Ferlito, MD, Claudio Rapezzi, MD, Angelo Branzi, MD, Rossella Fattori, MD Journal of Vascular Surgery Volume 40, Issue 5, Pages 880-885 (November 2004) DOI: 10.1016/j.jvs.2004.08.041 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 Algorithm for transesophageal echocardiography (TEE)–guided Dacron stent implantation. Journal of Vascular Surgery 2004 40, 880-885DOI: (10.1016/j.jvs.2004.08.041) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Color Doppler transesophageal echocardiogram (TEE) obtained after stent-graft implantation shows peri-stent leak with flow from true lumen (TL) to false lumen (FL) of aortic dissection (arrow). A1, Pulsed Doppler TEE confirms leak (high-velocity flow, 120 cm/s, with high-intensity signal). B, TEE-guided balloon inflation (arrows) seals stent graft to aortic wall. FL, False lumen. C, Color Doppler TEE shows leak resolution with initial false lumen (FL) thrombosis (marker of false lumen exclusion and successful procedure) 10 minutes after balloon inflation. TL, True lumen. C1, Pulse-Doppler TEE shows only Dacron porosity (slow-velocity flow, <50 cm/s, with poor signal intensity). Journal of Vascular Surgery 2004 40, 880-885DOI: (10.1016/j.jvs.2004.08.041) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions