Presentation is loading. Please wait.

Presentation is loading. Please wait.

Late complications of thoracic endografts

Published byOlaf Klausen Modified over 5 years ago

Similar presentations

Presentation on theme: "Late complications of thoracic endografts"— Presentation transcript:

1 Late complications of thoracic endografts
Karthikeshwar Kasirajan, MD, Ross Milner, MD, PhD, Elliot L. Chaikof, MD, PhD  Journal of Vascular Surgery  Volume 43, Issue 2, Pages A94-A99 (February 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 The proximal and bare spring configuration of the Talent device assists in graft fixation. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Aortic perforation is noted from the leading end of the proximal bare spring. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Use of three devices to help reduce stress points at points of aortic angulation. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Graft infolds are observed on intravascular ultrasound scan as a result of endograft oversizing. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Metal fracture is seen in both longitudinal spine and nitinol rings. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 The Gore TAG device that is currently approved for use in the United States. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

8 Fig 7 Thickened dissection flap in a patient with a chronic type B dissection. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

9 Fig 8 A, Size disparity between normal proximal aorta and dissection segment. B, Stent-graft exclusion of false lumen with obvious graft compression. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

10 Fig 9 A, Compressed true lumen at proximal entry point. B, Completion angiogram demonstrates the appearance of a “pseudocoarctation.” C, Computed tomogram demonstrates thrombosis of the false lumen with the flow across the compressed true lumen. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

11 Fig 10 Iatrogenic retrograde aortic dissection caused by bare spring perforation after aggressive balloon dilatation. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

12 Fig 11 A, Enlarged false lumen and compressed true lumen before endograft placement. B, Complete false lumen thrombosis with spontaneous enlargement of the true lumen. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

13 Fig 12 Typical type B dissection extending to iliac arteries.
Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

14 Fig 13 A, Distal flare erosion through a dissection flap results in late reperfusion of the false lumen. B, Reperfusion treated with a distal extension cuff. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

15 Fig 14 Delayed reperfusion of false lumen from retrograde blood flow from the subclavian artery. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

16 Fig 15 A, Dissection flap extends into right renal artery as observed by computed tomography imaging. B, Dynamic motion of the flap in the renal artery as seen by an intravascular ultrasound (IVUS) examination. C, A self-expanding stent from the right renal artery extends across the false lumen into the true lumen. D, IVUS image demonstrates the renal stent extending across the false lumen into the true lumen. Journal of Vascular Surgery  , A94-A99DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

Download ppt "Late complications of thoracic endografts"

Similar presentations

Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 

Restrictive bare stent for prevention of stent graft-induced distal redissection after thoracic endovascular aortic repair for type B aortic dissection 
Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease  Markus G.M. Steinbauer, MD, Alexander Stehr, MD, Karin.

Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease  Markus G.M. Steinbauer, MD, Alexander Stehr, MD, Karin.
Hemodynamic evaluation using four-dimensional flow magnetic resonance imaging for a patient with multichanneled aortic dissection  Baolei Guo, MD, PhD,

Hemodynamic evaluation using four-dimensional flow magnetic resonance imaging for a patient with multichanneled aortic dissection  Baolei Guo, MD, PhD,
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
Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.

Acute bilateral renal artery chimney stent thrombosis after endovascular repair of a juxtarenal abdominal aortic aneurysm  Salvatore T. Scali, MD, Robert.
Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD 

Jacques Kpodonu, MD, Venkatesh G. Ramaiah, MD, Edward B. Diethrich, MD 
Combined proximal stent grafting plus distal bare metal stenting for management of aortic dissection: Superior to standard endovascular repair?  Sophie.

Combined proximal stent grafting plus distal bare metal stenting for management of aortic dissection: Superior to standard endovascular repair?  Sophie.
Secondary conversion of the Gore Excluder to operative abdominal aortic aneurysm repair  Li Sheng Kong, MD, Douglas MacMillan, MD, Karthik Kasirajan,

Secondary conversion of the Gore Excluder to operative abdominal aortic aneurysm repair  Li Sheng Kong, MD, Douglas MacMillan, MD, Karthik Kasirajan,
Anika L. Mirick, BA, Himanshu J. Patel, MD, G

Anika L. Mirick, BA, Himanshu J. Patel, MD, G
Aortic dissection: Perspectives in the era of stent-graft repair

Aortic dissection: Perspectives in the era of stent-graft repair
Peyman Benharash, MD, Jason T. Lee, MD, Oscar J

Peyman Benharash, MD, Jason T. Lee, MD, Oscar J
Prospective multicenter clinical trial (STABLE) on the endovascular treatment of complicated type B aortic dissection using a composite device design 

Prospective multicenter clinical trial (STABLE) on the endovascular treatment of complicated type B aortic dissection using a composite device design 
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.
Volume changes in aortic true and false lumen after the “PETTICOAT” procedure for type B aortic dissection  Germano Melissano, MD, Luca Bertoglio, MD,

Volume changes in aortic true and false lumen after the “PETTICOAT” procedure for type B aortic dissection  Germano Melissano, MD, Luca Bertoglio, MD,
John W. Fehrenbacher, MD, Robert A. McCready, MD 

John W. Fehrenbacher, MD, Robert A. McCready, MD 
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.
Journal of Vascular Surgery

Journal of Vascular Surgery
A single-center experience treating renal malperfusion after aortic dissection with central aortic fenestration and renal artery stenting  Dawn M. Barnes,

A single-center experience treating renal malperfusion after aortic dissection with central aortic fenestration and renal artery stenting  Dawn M. Barnes,
True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: Initial report  Donald L. Jacobs, MD, Raghunandan.

True lumen re-entry devices facilitate subintimal angioplasty and stenting of total chronic occlusions: Initial report  Donald L. Jacobs, MD, Raghunandan.

Similar presentations

Ads by Google