The PETTICOAT Technique for Complicated Acute Stanford Type B Aortic Dissection Using a Tapered Self-Expanding Nitinol Device as Distal Uncovered Stent

Antonello, Michele; Squizzato, Francesco; Colacchio, Elda Chiara; Taglialavoro, Jacopo; Grego, Franco; Piazza, Michele

doi:10.1016/j.avsg.2016.10.043

Cited by 19 publications

(18 citation statements)

References 9 publications

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“…To address this issue, several groups have placed distal bare metal stents to encourage false lumen thrombosis and cessation of flow. This technique, known as the Proximal ExTension to Induce COmplete ATtachment (PETTICOAT) concept, has shown good initial results, but early complications and mixed results limit its widespread acceptance and use [6][7][8][9][10]. Unfortunately, there are limited remodeling data in the literature with current-generation endografts [8].…”

mentioning

confidence: 99%

Bare Metal Stent Use in Type B Aortic Dissection May Offer Positive Remodeling for the Distal Aorta

Sultan

Dufendach

Kilic

et al. 2018

The Annals of Thoracic Surgery

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confidence: 99%

Bare Metal Stent Use in Type B Aortic Dissection May Offer Positive Remodeling for the Distal Aorta

Sultan

Dufendach

Kilic

et al. 2018

The Annals of Thoracic Surgery

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“…There is limited data on TEVAR/EVAR for patients with MFS and only a few case reports presented PETTICOAT technique for patients with MFS 8 . A study reported that the rate of the primary treatment failure in patients with MFS treated with TEVAR/EVAR was 44% due to endoleaks 3 .…”

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confidence: 99%

Acute complicated type B aortic dissection during the New York City COVID‐19 surge

et al. 2020

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The impact of the coronavirus disease 2019 (COVID‐19) pandemic in New York City (NYC) is dramatic. COVID‐19 cases surged, hospitals expanded to meet capacity, and NYC remains the global epicenter of this pandemic. During this unprecedented time, a young woman with known Marfan syndrome presented with an acute complicated type B aortic dissection to our Aortic Center. Using the provisional extension to induce a complete attachment technique, we treated this patient and quickly discharged her the next day to decrease the risk of COVID‐19 infection. Her progress was monitored using frequent phone calls and one office visit at two weeks.

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“…The average postoperative MV time was 46.9 (6.7-151.2) hours, since three patients had relatively long MV times of 84.7 h, 95.8 h, and 151.2 h. The average length of stay in ICU was 7.7 (4-17) days, with 3 patients more than 9 days because of CRRT therapy, pneumonia and re-intubation, and postoperative delirium. The mean postoperative hospital length of stay was 15.7 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) days, and the average total hospitalization cost was 268, 909 RMB (142,888 to 527,642).…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Open stented elephant trunk for complicated Stanford type B aortic dissection: a single-center experience

Tie

Kong

et al. 2020

J Cardiothorac Surg

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Background Open stented elephant trunk (SET) or SET with left subclavian artery (LSCA) to left common carotid artery (LCCA) bypass is proven to a potentially alternative treatment for complicated Stanford type B aortic dissection (TBAD). In the current study, we reported our experience with ten consecutive TBAD patients who underwent open SET. Methods Patients with complicated TBAD underwent open SET from May 2016 to November 2018 in our institution were included. Patients’ clinical data were obtained from the electronic medical record system, and long-term clinical outcomes were collected by telephone interviews or outpatient interviews. Results A total of ten patients with nine males and one female were included, and the average age was 47.3 (31–65) years. Increased D-dimer and fibrinogen degradation products were observed in all patients at admission, and two patients had renal insufficiency. The average postoperative mechanical ventilation time, length of stay in intensive care unit, and postoperative hospital length of stay were 46.9 (6.7–151.2) hours, 7.7 (4–17) days, and 15.7 (10–26) days. No postoperative death occurred. Acute kidney injury and other complications were observed, and they were recovered well when discharge. In long-term follow-up, computed tomography angiography indicated that aortas were completely well remodeled, and blood supply of the brachiocephalic trunks was normal without anastomotic complications. All patients lived well. Conclusion SET or SET with subclavian artery correction shows satisfactory clinical outcomes, and it could be considered as an alternative treatment. Well-designed, large-scale studies with long-term follow-up are still needed.

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The PETTICOAT Technique for Complicated Acute Stanford Type B Aortic Dissection Using a Tapered Self-Expanding Nitinol Device as Distal Uncovered Stent

Cited by 19 publications

References 9 publications

Bare Metal Stent Use in Type B Aortic Dissection May Offer Positive Remodeling for the Distal Aorta

Bare Metal Stent Use in Type B Aortic Dissection May Offer Positive Remodeling for the Distal Aorta

Acute complicated type B aortic dissection during the New York City COVID‐19 surge

Open stented elephant trunk for complicated Stanford type B aortic dissection: a single-center experience

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