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Sukgu M. Han, MD, Warren J. Gasper, MD, Timothy A.M. Chuter, MD 

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Presentation on theme: "Sukgu M. Han, MD, Warren J. Gasper, MD, Timothy A.M. Chuter, MD "— Presentation transcript:

1 Endovascular rescue after inadvertent false lumen stent graft implantation 
Sukgu M. Han, MD, Warren J. Gasper, MD, Timothy A.M. Chuter, MD  Journal of Vascular Surgery  Volume 63, Issue 2, Pages (February 2016) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative computed tomography (CT) scan shows a type B aortic dissection (TBAD) involving the entire descending aorta and bilateral common iliac arteries. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Intraoperative angiography: (a) angiography through true lumen cannulation shows opacification of right renal, celiac, and superior mesenteric arteries; (b) angiography through false lumen cannulation shows opacification of left renal artery; (c) placement of endovascular multilooped snare in the false lumen, which was used for endovascular fenestration; (d) deployment of 36-mm endograft in the true lumen; (e) brisk filling of visceral and renal branches after distal endograft deployment. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 Fig 3 a, Computed tomography (CT) scan after the initial thoracic aortic endovascular repair (TEVAR) shows the distal end of the TEVAR has been deployed into the false lumen, causing true lumen compression at the paravisceral aorta. b, CT scan after the endovascular rescue shows true lumen expansion and improved perfusion of visceral branches. Follow-up CT scans at (c) 3 months and (d) 6 months show progressive expansion of the true lumen. The arrows are pointing at the true lumen. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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