Percutaneous fenestration of intimal flap and endovascular stent placement for aortic dissection: 1 case report and reference review
- VernacularTitle:经皮内膜瓣开窗术及内支架置入术治疗主动脉夹层(附一例报告及文献复习)
- Author:
Ke XU
;
Liang XIAO
;
Bo FENG
- Publication Type:Journal Article
- Keywords:
Aneurysm,dissecting;
Radiology, interventional;
Fenestration;
Stents
- From:
Chinese Journal of Radiology
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and effect of percutaneous fenestration of intimal flap(FIF) and endovascular stent(ES) placement for aortic dissection. Methods Male patient, 54 years old. DeBakey Ⅲb aortic dissection, tear of intimal flap situated at the beginning of desconding aorta, developed to abdominal aorta and right iliac artery. The true lumen was 3 mm at narrowest locatation. Through femoral artery approach, percutaneous fenestration of intimal flap and ES placement are operated and four ES were placed. Results The blood flow of aortic true lumen and branches were resumed. The true lumen raised to 12 3 mm at the narrowest locatation. The clinical symptoms vanished. Conclusion Percutaneous fenestration and ES placement for aortic dissection feature little injure, high safety and effecacy. So, It is the first choice for certain aortic dissection.
