Aortic Remodeling After Total Endovascular Aortic Repair With Multilayer Stents: Computational Fluid Dynamics Analysis of Aortic Remodeling Over 3 Years of Follow-up.
Purpose: To report Multilayer Flow Modulator (MFM) implantation from the sinotubular junction to the distal infrarenal aorta in the treatment of type B aortic dissection (TBAD) and demonstrate aortic remodeling using computational fluid dynamics (CFD) analysis over the course of 3-year follow-up.Cas...
| Publicado en: | Journal of Endovascular Therapy Vol. 25; no. 6; pp. 760 - 765 |
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| Autores principales: | , , , , , , , , , |
| Formato: | case study Journal Article |
| Publicado: |
Sage Publications Inc.
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133562507&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 133562507 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15266028 IR3 jtl: Journal of Endovascular Therapy issn: 15266028 maglogo: Y pubinfo: dt: Dec2018 vid: 25 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 133562507 133562507 NLM30354915 133562507 10.1177/1526602818808049 NLM30354915 133562507 ppf: 760 ppct: 5 formats: tig: atl: Aortic Remodeling After Total Endovascular Aortic Repair With Multilayer Stents: Computational Fluid Dynamics Analysis of Aortic Remodeling Over 3 Years of Follow-up. aug: au: Costache, Victor S. Yeung, Kak K. Solomon, Crina Popa, Radu Melnic, Tatiana Sandu, Mihai Bucurenciu, Cristian Candea, Gabriela Santa, Adrian Costache, Andreea affil: NextCardio Project ULBS, Lucian Blaga University, Sibiu, Romania sug: subj: Aneurysm, Dissecting Surgery Models, Biological Blood Vessel Prosthesis Vascular Remodeling Computer Simulation Blood Vessel Prosthesis Equipment and Supplies Aortic Aneurysm Surgery Stents Aortic Aneurysm Prosthesis Design Male Physiochemical Phenomena Treatment Outcomes Middle Age Aneurysm, Dissecting Physiopathology Aortic Aneurysm Physiopathology Time Factors Aneurysm, Dissecting Questionnaires Middle Aged: 45-64 years Male ab: Purpose: To report Multilayer Flow Modulator (MFM) implantation from the sinotubular junction to the distal infrarenal aorta in the treatment of type B aortic dissection (TBAD) and demonstrate aortic remodeling using computational fluid dynamics (CFD) analysis over the course of 3-year follow-up.Case Report: A hypertensive patient with complicated TBAD required thoracic endovascular aortic repair due to severe thoracic pain associated with rapid progression of the false lumen aneurysm toward the distal aortic arch. Under general anesthesia, 2 aortic multilayer stents were placed over a 0.035-inch stiff guidewire in the compressed true lumen. The aorta was covered with 2 MFM stents between the sinotubular junction and the distal infrarenal aorta. Serial computed tomography scans showed progressive remodeling of the entire dissected aortic wall, with an excellent result at 24 months. Morphological and CFD vascular analysis confirmed the aortic remodeling, with a false lumen index drop from a preoperative 4.04 to 0.01 at 36 months.Conclusion: Endovascular aortic repair with multilayer stents is a promising treatment for complicated TBAD due to the unique ability of these devices to stabilize the entire aortic wall without compromising the flow in the major aortic side branches. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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