Noritake Akaba, M. D. , Hisashi Ujiie, M. D. , Kazumasa Umezawa, M. D

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Presentation transcript:

Management of acute aortic dissections with a cylinder-type ballon catheter to close the entry Noritake Akaba, M.D., Hisashi Ujiie, M.D., Kazumasa Umezawa, M.D., Kinji Miura, M.D., Yoshio Yamamoto, M.D., Shigeki Horihoshi, M.D., Hiroshi Ijima, M.D. Journal of Vascular Surgery Volume 3, Issue 6, Pages 890-894 (June 1986) DOI: 10.1016/0741-5214(86)90156-4 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Catheter for entry closure is our original design. Design consists of double-lumen catheter and balloon located at tip. Journal of Vascular Surgery 1986 3, 890-894DOI: (10.1016/0741-5214(86)90156-4) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Balloon at tip of catheter. Above is balloon inflated in glass tube. Blood flows through central passage of balloon. Below is before inflation. Journal of Vascular Surgery 1986 3, 890-894DOI: (10.1016/0741-5214(86)90156-4) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Catheter with deflated balloon inserted distally and introduced into true lumen of ascending aorta with a guide wire (left). Balloon inflated at tear site. When entry is closed, blood does not flow in pseudolumen, and progress of dissection is stopped (right). Journal of Vascular Surgery 1986 3, 890-894DOI: (10.1016/0741-5214(86)90156-4) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Catheter inserted into aorta from a distal vessel. Balloon is inflated at tear site and kept in place. Journal of Vascular Surgery 1986 3, 890-894DOI: (10.1016/0741-5214(86)90156-4) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Roentgenogram shows catheter inserted into ascending aorta of dog. Balloon is inflated with saline solution containing contrast medium. Journal of Vascular Surgery 1986 3, 890-894DOI: (10.1016/0741-5214(86)90156-4) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Experimental results of indwelling of inflated balloon. In this case diameter of central passage of balloon is 40% of canine aorta. No significant effects were observed in the hemodynamics, including blood pressure and flow above and below balloon. Journal of Vascular Surgery 1986 3, 890-894DOI: (10.1016/0741-5214(86)90156-4) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Digital subtraction angiogram of dissection of ascending aorta. It is clear that dissection originates distal to the left subclavian artery. Journal of Vascular Surgery 1986 3, 890-894DOI: (10.1016/0741-5214(86)90156-4) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions