Presentation is loading. Please wait.

Presentation is loading. Please wait.

Tae K. Song, MD, Carlos E. Donayre, MD, Irwin Walot, MD, George E

Published byOnni Hänninen Modified over 5 years ago

Similar presentations

Presentation on theme: "Tae K. Song, MD, Carlos E. Donayre, MD, Irwin Walot, MD, George E"— Presentation transcript:

1 Endograft exclusion of acute and chronic descending thoracic aortic dissections 
Tae K. Song, MD, Carlos E. Donayre, MD, Irwin Walot, MD, George E. Kopchok, BS, Roman A. Litwinski, MD, Maurice Lippmann, MD, Grant E. Sarkisyan, MD, Bassam Omari, MD, Rodney A. White, MD  Journal of Vascular Surgery  Volume 43, Issue 2, Pages (February 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Intravascular ultrasound (IVUS) images of aortic dissection pre-endograft (left) and post-endograft deployment (right) demonstrate the dimensions of the true lumen (arrows) at the same aortic level. Real-time predeployment images show pulsatile flow in the false lumen with severe compromised flow in the true lumen. The postprocedure IVUS image demonstrates enlargement of the true lumen with pulsatile flow in the true lumen and stagnation of flow in the false lumen (f) after coverage of the proximal entry site. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Preoperative (left) and postdeployment (right) images demonstrate the method of calculating total volume in the thoracic aorta from the top of the aortic arch to the celiac axis. The ascending aorta and arch contributing to the total volume were assumed to be constant between sequential imaging. At the level of aorta denoted by an asterisk, the presence of true and false lumen is shown on the axial computed tomography (CT) image. The postdeployment axial CT image shows continued contrast within the false lumen (large arrow) (f) during the assessment for thrombosis of the false lumen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Composite interactive three-dimensional computed tomography images of complete regression over 9 weeks of a 4.5-cm aneurysmal enlargement of an acute proximal descending aortic dissection with ongoing chest pain and extension of the dissection while on medical therapy following coverage of the proximal entry site with a single, 130-mm-long Talent thoracic endograft. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 False lumen volume regression of acute and chronic dissections related to time. At the 6-month follow-up, there was a 66% decrease in false lumen (contrast) volume in the acute dissections (blue) and a 92% decrease in the chronic dissections (red) compared with preoperative values. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Impact of endoleak on percent change in true lumen volume related to time. A subanalysis of the acute dissections showed an increase in true lumen volume of 32% and 42% at 6 months and 12 months with no reintervention (blue) compared with a minimal increase in volume of 4.8% and 3.9% with reintervention (green). The chronic dissections (red) showed a similar increase in true lumen volume as acute dissections not requiring reintervention of 15.2% and 37.0% at 6 months and 12 months, respectively. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Impact of endoleak on total aortic volume related to time for acute and chronic dissections. At the 6- and 12-month follow-up intervals, there was 10.5% and 0% decrease in total aortic volumes for acute dissection not requiring reintervention (blue) compared with a decrease of 9.3% and 22.2% for chronic dissections (red). Acute dissections that required reintervention (green) demonstrated an increase in total aortic volume of 13.6% and 28.9% at 6 and 12 months, respectively. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Download ppt "Tae K. Song, MD, Carlos E. Donayre, MD, Irwin Walot, MD, George E"

Similar presentations

Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation?  Luca Botta, MD, Vincenzo.

Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation?  Luca Botta, MD, Vincenzo.
Endovascular aortic repair of a postdissecting thoracoabdominal aneurysm using intraoperative fusion imaging  Adrien Kaladji, MD, Aurélien Dumenil, PhD,

Endovascular aortic repair of a postdissecting thoracoabdominal aneurysm using intraoperative fusion imaging  Adrien Kaladji, MD, Aurélien Dumenil, PhD,
Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,

Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes  Muhammad Aftab, MD, Jay J. Idrees, MD,
Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P

Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P
Intraprocedural imaging: Thoracic aortography techniques, intravascular ultrasound, and special equipment  Rodney A. White, MD, Carlos E. Donayre, MD,

Intraprocedural imaging: Thoracic aortography techniques, intravascular ultrasound, and special equipment  Rodney A. White, MD, Carlos E. Donayre, MD,
Acute blunt traumatic injury to the descending thoracic aorta

Acute blunt traumatic injury to the descending thoracic aorta
Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm  Ludovic.

Reverse extra-anatomic aortic arch debranching procedure allowing thoracic endovascular aortic repair of a chronic ascending aortic aneurysm  Ludovic.
Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation?  Luca Botta, MD, Vincenzo.

Stent graft repair of descending aortic dissection in patients with Marfan syndrome: An effective alternative to open reoperation?  Luca Botta, MD, Vincenzo.
Extra-anatomic bypass with open-plugging stent graft for extensive dissected aortic aneurysm  Yoshiaki Saito, MD, Ryosuke Kowatari, MD, Masahito Minakawa,

Extra-anatomic bypass with open-plugging stent graft for extensive dissected aortic aneurysm  Yoshiaki Saito, MD, Ryosuke Kowatari, MD, Masahito Minakawa,
Combined surgical and endovascular treatment of aortic arch aneurysms

Combined surgical and endovascular treatment of aortic arch aneurysms
Thoracic endografting in a patient with hereditary hemorrhagic telangiectasia presenting with a descending thoracic aneurysm  Nicholas D. Andersen, MD,

Thoracic endografting in a patient with hereditary hemorrhagic telangiectasia presenting with a descending thoracic aneurysm  Nicholas D. Andersen, MD,
Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection  Steffan.

Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection  Steffan.
Douglas M. Cavaye, FRACS, William J. French, MD, Rodney A

Douglas M. Cavaye, FRACS, William J. French, MD, Rodney A
John W. Fehrenbacher, MD, Robert A. McCready, MD 

John W. Fehrenbacher, MD, Robert A. McCready, MD 
Preliminary clinical outcome and imaging criterion for endovascular prosthesis development in high-risk patients who have aortoiliac and traumatic arterial.

Preliminary clinical outcome and imaging criterion for endovascular prosthesis development in high-risk patients who have aortoiliac and traumatic arterial.
Aortic angiosarcoma masquerading as a thoracic aortic aneurysm

Aortic angiosarcoma masquerading as a thoracic aortic aneurysm
Twenty consecutive cases of endograft repair of traumatic aortic disruption: Lessons learned  David G. Neschis, MD, Sina Moaine, MD, Rao Gutta, MD, Kirk.

Twenty consecutive cases of endograft repair of traumatic aortic disruption: Lessons learned  David G. Neschis, MD, Sina Moaine, MD, Rao Gutta, MD, Kirk.
Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology  Brian G. Peterson,

Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology  Brian G. Peterson,
Outcomes of endovascular treatment for aortic pseudoaneurysm in Behcet's disease  Sung Won Kim, MD, Do Yun Lee, MD, Man Deuk Kim, MD, Jong Yun Won, MD,

Outcomes of endovascular treatment for aortic pseudoaneurysm in Behcet's disease  Sung Won Kim, MD, Do Yun Lee, MD, Man Deuk Kim, MD, Jong Yun Won, MD,
The hybrid elephant trunk procedure: A single-stage repair of an ascending, arch, and descending thoracic aortic aneurysm  Ali Azizzadeh, MD, Anthony.

The hybrid elephant trunk procedure: A single-stage repair of an ascending, arch, and descending thoracic aortic aneurysm  Ali Azizzadeh, MD, Anthony.

Similar presentations

Ads by Google