Endovascular “Intimal Flap Septostomy” for Safe Landing of a Stent Graft in an Anastomotic Pseudoaneurysm of Chronic Type B Aortic Dissection Yoshiaki.

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Endovascular “Intimal Flap Septostomy” for Safe Landing of a Stent Graft in an Anastomotic Pseudoaneurysm of Chronic Type B Aortic Dissection Yoshiaki Saito, Kengo Tani, Satoshi Taniguchi, Ikuo Fukuda EJVES Short Reports Volume 37, Pages 5-7 (January 2017) DOI: 10.1016/j.ejvssr.2017.09.002 Copyright © 2017 The Authors Terms and Conditions

Figure 1 Findings of pre-operative computed tomography. (A) Axial view. Yellow arrows show the false aneurysm at the distal anastomosis. Maximum diameter is 53 mm. (B) Sagittal view. The distance between the anastomosis and the bottom of the fenestrated flap is 19 mm. (C) Small re-entry near the origin of the right renal artery. EJVES Short Reports 2017 37, 5-7DOI: (10.1016/j.ejvssr.2017.09.002) Copyright © 2017 The Authors Terms and Conditions

Figure 2 (A) Intra-operative findings of “intimal flap septostomy”. Yellow arrow shows inflated cutting balloon over the intimal flap. (B) Schema of the present technique. (C) Post-operative computed tomography shows a sufficient distal landing zone for the thoracic stent graft. The distance between the anastomosis and the bottom of the fenestrated flap is increased to 52 mm (compared with Fig. 1B). EJVES Short Reports 2017 37, 5-7DOI: (10.1016/j.ejvssr.2017.09.002) Copyright © 2017 The Authors Terms and Conditions