Aortic stent grafting and side-branch embolization in an expanding chronic type B dissection Bertrand Janne d’Othée, MDa, Hervé Rousseau, MDa, Philippe.

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Presentation transcript:

Aortic stent grafting and side-branch embolization in an expanding chronic type B dissection Bertrand Janne d’Othée, MDa, Hervé Rousseau, MDa, Philippe Soula, MDb, Bruno Dongay, MDc, Maria Ines Millan, MDa, Michel Galinier, MDc, Pierre Massabuau, MDc, Francis Joffre, MDa, Philippe Otal, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 118, Issue 6, Pages 1021-1025 (December 1999) DOI: 10.1016/S0022-5223(99)70096-6 Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 1 Digital subtraction arteriography with a calibrated pigtail catheter performed before endovascular procedure. Left, Injection in the true lumen at the supradiaphragmatic level shows the initial entry site (arrow) and retrograde opacification of the false lumen up to the aortic isthmus. Antegrade extension up to the L1 level is noted. Right, Digital subtraction arteriography (brachial approach). Injection in the false lumen is followed by opacification of the celiac trunk and its branches. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1021-1025DOI: (10.1016/S0022-5223(99)70096-6) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 2 Follow-up arteriogram at the end of the endovascular therapeutic procedure. Occlusive balloons (white arrows) and coils have been placed in the proximal portion of the celiac trunk. Stent graft (black arrows) is seen above this level. The false channel is no longer opacified. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1021-1025DOI: (10.1016/S0022-5223(99)70096-6) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 3 Axial CT slice 4 months after endovascular treatment. The false channel has thrombosed. Branches of the celiac trunk are opacified. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1021-1025DOI: (10.1016/S0022-5223(99)70096-6) Copyright © 1999 Mosby, Inc. Terms and Conditions

Fig. 4 Maximum intensity projection reconstructed from spiral CT acquisition 12 months after endovascular treatment. The stent graft stays patent. The Journal of Thoracic and Cardiovascular Surgery 1999 118, 1021-1025DOI: (10.1016/S0022-5223(99)70096-6) Copyright © 1999 Mosby, Inc. Terms and Conditions