Complications after endovascular repair of acute symptomatic and chronic expanding Stanford type B aortic dissections Dittmar Böckler, MD, Hardy Schumacher,

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Presentation transcript:

Complications after endovascular repair of acute symptomatic and chronic expanding Stanford type B aortic dissections Dittmar Böckler, MD, Hardy Schumacher, MD, PhD, Marika Ganten, MD, Hendrik von Tengg-Kobligk, MD, Matthias Schwarzbach, MD, PhD, Christian Fink, MD, Hans-Ulrich Kauczor, MD, PhD, Hubert Bardenheuer, MD, PhD, Jens-Rainer Allenberg, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 132, Issue 2, Pages 361-368.e4 (August 2006) DOI: 10.1016/j.jtcvs.2006.02.056 Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Overall survival rate. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 361-368.e4DOI: (10.1016/j.jtcvs.2006.02.056) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Rates of freedom from procedure-related death in patients with acute and chronic type B dissection. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 361-368.e4DOI: (10.1016/j.jtcvs.2006.02.056) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Rates of freedom from secondary interventions. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 361-368.e4DOI: (10.1016/j.jtcvs.2006.02.056) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 A, Three-dimensional reconstruction of postoperative CT scanning shows patent open retrograde bypass reconstruction of the celiac trunk, superior mesenteric artery, and left renal artery, a separate retrograde revascularization of the right renal artery (8-mm Dacron graft), and complete endovascular repair of the thoracoabdominal aneurysmal expanded aorta with 4 TAG devices (28–100 and 31–150 mm in reversed thrombone technique). B, Retrograde false lumen reperfusion is still documented, originating from the left common iliac artery. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 361-368.e4DOI: (10.1016/j.jtcvs.2006.02.056) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Rates of freedom from any adverse event (treatment failure). The Journal of Thoracic and Cardiovascular Surgery 2006 132, 361-368.e4DOI: (10.1016/j.jtcvs.2006.02.056) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Postembolization chest radiography in a patient who had hemoptysis due to ABF 17 months after successful stent-graft placement for aortic dissection. Coils were placed into the false lumen above and below the detected and localized fistula tract. The Journal of Thoracic and Cardiovascular Surgery 2006 132, 361-368.e4DOI: (10.1016/j.jtcvs.2006.02.056) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Postoperative 3-dimensional reconstruction (Vitrea, Vital Images) after transposition and crossover bypass grafting of supra-aortic vessels and staged distal arch endografting to create a suitable neck for proximal stentgraft fixation. A, Anterior view. B, Posterior view (patent No. 34). The Journal of Thoracic and Cardiovascular Surgery 2006 132, 361-368.e4DOI: (10.1016/j.jtcvs.2006.02.056) Copyright © 2006 The American Association for Thoracic Surgery Terms and Conditions