Acute Type B Dissection Complicated by Infrarenal Aortic Stent-Graft Collapse With Spontaneous Re-expansion

Vainas, Tryfon; Tielliu, Ignace F.J.; Vries, Bas M. Wallis de; Laan, Maarten van der; Zeebregts, Clark J.; Dungen, J.J.A.M. van den

doi:10.1583/13-4595l.1

Cited by 9 publications

(14 citation statements)

References 6 publications

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“…There are 10 reports of similar antegrade complicated TBAD in the literature, excluding retrograde dissection (Table 1). 1 –10 Primary entry tears were found in the distal left subclavian artery in all cases. Different devices were used: 4 Excluder, 3 Zenith, 2 Endurant (Medtronic, Inc, Minneapolis, Minnesota), and 1 Talent (Medtronic, Inc).…”

Section: Discussionmentioning

confidence: 84%

“…However, a literature review shows a lack of reports of embolism or deaths after TEVAR. [2][3][4]6,8,10 Both aneurysm and aortic dissections share the similar risk factors such as history of smoking and hypertension. 12 As the number of EVAR cases continues to increase, similar presentations such as false lumen rupture and endograft collapse may be encountered with increased frequency in the future.…”

Section: Discussionmentioning

confidence: 99%

“…The timing of TBAD after EVAR ranged from 11 weeks to 10 years. Endograft collapse was reported in 8 cases, 1 –6,9,10 endograft thrombosis was reported in 8 cases, 2,4 –10 and rupture was reported in 2 cases. 1,7 Endograft collapse occurred with the 4 stent grafts (Excluder, Zenith, Talent, and Endurant).…”

Section: Discussionmentioning

confidence: 99%

“…Extra-anatomical bypass was performed in 3 of these patients. 4,5,9 One patient died of intestinal necrosis and renal failure because of progression of false lumen thrombosis, 5 whereas 1 patient was converted to open abdominal aortic repair and TEVAR. 4 Only 1 case of EAB required temporary dialysis, but survival was possible.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have reported that new-onset complicated TBAD after endovascular aneurysm repair (EVAR) is extremely rare. [1][2][3][4][5][6][7][8][9][10] The extension of aortic dissection causes various symptoms and can destabilize the stent graft. In addition, a stent graft can result in various symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Fatal Complications of New-Onset Complicated Type B Aortic Dissection After Endovascular Abdominal Aortic Aneurysm Repair: Report of 2 Cases and Literature Review

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Hasegawa

et al. 2018

Vasc Endovascular Surg

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New-onset antegrade Stanford type B aortic dissection (TBAD) after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) is rare. The extension of aortic dissection leads to various symptoms and affects the stent graft. Moreover, various symptoms may arise owing to a stent graft being present. We describe 2 cases of complicated acute TBAD occurring after EVAR, which were ultimately fatal. The case in which rupture occurred could not be treated and the patient died. In another case with bilateral lower extremity malperfusion caused by collapse and occlusion of the endograft, extra-anatomical bypass was performed. Although the collapsed endograft gradually re-expanded, the patient ultimately died because of multiorgan failure. We have reviewed the literature and analyzed the treatment of complicated TBAD after EVAR.

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