Early outcomes associated with use of the Zenith TX2 Dissection Endovascular Graft for the treatment of Stanford type B aortic dissection

Endovascular repair of acute type B thoracic aortic dissection

“…In another report from a prospective, nonrandomized dissection trial, 5-year outcomes for the Valiant Captivia endograft (Medtronic) included positive and sustained aortic remodeling (8). Results of the multicenter Zenith TX2 dissection endovascular graft study also were recently reported (9); in this study of 120 patients with complicated or uncomplicated type B aortic dissection, treated in the acute, subacute, or chronic phase, mortality was 6.6% in the acute cases with 4.2% permanent paraplegia and 2.5% stroke. No permanent paraplegia or permanent dialysis was reported in patients treated with concurrent placement of the Zenith Dissection Bare Stent.…”

Early results of bare metal extension stent for thoracoabdominal aortic dissection

“…The bare metal extension stent technique was developed to extend thoracic TEVAR devices; however, it has been mainly used in acute settings because encouraging aortic remodeling is particularly challenging in the subacute/chronic state when the intimal flap is thicker, and obliterating the false lumen is more difficult. 8 …”

“…The bare metal extension stent technique was developed to extend thoracic TEVAR devices; however, it has been mainly used in acute settings because encouraging aortic remodeling is particularly challenging in the subacute/chronic state when the intimal flap is thicker, and obliterating the false lumen is more difficult. 8 The provisional extension to induce complete attachment (PETTICOAT) stent technique to treat acute type B aortic dissection has demonstrated efficacy in expanding the true lumen in the abdominal aorta. 12,13 Systematic reviews by Rong and colleagues 13 and Bertoglio and colleagues 14 both reported improved remodeling of the distal thoracoabdominal aorta at 12 months using the PETTICOAT technique, although studies were nonrandomized and primarily focused on patients with acute Debakey IIIb dissection with malperfusion.…”

“…[3][4][5] A strategy to positively influence aortic remodeling and true lumen perfusion, the bare metal extension stenting technique has evolved to support the delaminated segments of the thoracoabdominal aorta. [6][7][8] This approach utilizes an uncovered stent with low radial force deployed into the true lumen of the thoracoabdominal aorta, generally in the visceral segments. The purpose of this investigation is to determine the early clinical outcomes and changes in aortic morphology by managing the abdominal aorta with the bare metal extension stenting technique and report our experience in patients with acute and chronic thoracoabdominal aortic dissection.…”

An Abdominal Aortic Endoprosthesis as an Iliac Branch Device for the Preservation of Common Iliac and Internal Iliac Arteries in a Patient with a Common and Internal Arteries Aneurysm and a Type B Aortic Dissection

“…As to Type B aortic dissection (TBAD) have a 30-day mortality rate of up to 25%. Even in the absence of these complications, a diagnosis of type B dissection is associated with a 10% in-hospital mortality [9]. TBAD is a serious condition that need to be treated if complications such as impending rupture, rapid dilation, intractable pain, hypertension, and, in particular, organ or limb malperfusion are present.…”