Multilayer Stent for Emergency Treatment of Acute Type B Aortic Dissection: A Case Report.

Purpose: We report the case of an acute type B dissection with high-risk features treated with multilayer stent. Case Report: A 50-year-old female patient presented to the emergency department with an acute type B aortic dissection. Conservative medical treatment did control blood pressure but did n...

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Publicado en:Vascular & Endovascular Surgery Vol. 58; no. 2; pp. 205 - 209
Autores principales: Kremer Diniz, Bernardo, Sena, Marcello, Henrique Lima, Paulo
Formato: case study diagnostic images Journal Article
Publicado: Sage Publications Inc. Feb2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2024
      vid: 58
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Multilayer Stent for Emergency Treatment of Acute Type B Aortic Dissection: A Case Report.
      aug:
        au:
          Kremer Diniz, Bernardo
          Sena, Marcello
          Henrique Lima, Paulo
        affil: Department of Interventional Cardiology, Palmas Medical Center, Palmas, Brazil
      sug:
        subj:
          Aortic Dissections Diagnosis
          Acute Disease
          Aortic Dissections Surgery
          Emergency Care
          Stents
          Female
          Middle Age
          Endovascular Procedures
          Treatment Outcomes
          Middle Aged: 45-64 years
          Female
      ab: Purpose: We report the case of an acute type B dissection with high-risk features treated with multilayer stent. Case Report: A 50-year-old female patient presented to the emergency department with an acute type B aortic dissection. Conservative medical treatment did control blood pressure but did not alleviate her dissection symptoms. She was treated endovascularly with multilayer stents extensively covering the whole dissected area. HThe aortic arch side branches, visceral arteries and renal arteries remained patent after treatment. The recovery was uneventful, and she was discharged the day after the intervention. At 6- and 12-month follow-up, the patient remained asymptomatic, the true lumen volume increased and all side branches remained patent. Conclusion: We present a case of the use of a multilayer stent for acute type B aortic dissection. This technique allows to treat the whole dissection with low risk of paraplegia or side branch occlusion. Long-term results of ongoing clinical studies should confirm the place of the multilayer stent as a treatment option for type B aortic dissection.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        Journal Article
      ougenre: Article
    language: English
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