Using sound advice—intravascular ultrasound as a diagnostic tool

Parviz, Yasir; Fall, Khady; Ali, Ziad A.

doi:10.21037/jtd.2016.10.64

Cited by 3 publications

(2 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this patient’s case, the operator was able to confirm continuous true lumen positioning via intermittent angiography. If there is ever any doubt regarding true versus false lumen location, intravascular ultrasound can be used to make sure that the operator has not traversed a fenestration and entered the false lumen [ 26 ]. If the dissection flap has been traversed and not recognized, then 2 main concerns exist.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Mechanical Thrombectomy for Ischemic Stroke Treatment in the setting of Aortic Dissection

Cruz-Saavedra,

Patel,

Siragusa

et al. 2024

Case Rep Neurol

View full text Add to dashboard Cite

Introduction: Acute ischemic stroke can occur in the setting of aortic dissection. Information concerning the utility of endovascular mechanical thrombectomy as an intervention for patients with aortic dissection who are experiencing an acute stroke due to large vessel occlusion is limited to a few case reports. Case series of patients presenting with this clinical situation are needed to further investigate the potential utility of this procedure when patients with acute ischemic stroke and aortic dissection are encountered. Case presentation: We report a patient with a chronic Stanford type A aortic dissection with dissection extension into the left common carotid artery and left internal carotid artery who had a good clinical outcome following mechanical thrombectomy for a symptomatic middle cerebral artery occlusion. We also review other cases in which endovascular mechanical thrombectomy was conducted in patients with aortic dissection and acute ischemic stroke, and discuss the potential risks and benefits of carotid artery stenting in this clinical situation. Conclusion: The rate of successful arterial recanalization in patients with aortic dissection, large vessel occlusion and acute ischemic stroke treated with mechanical thrombectomy is high. The intervention has been associated with good neurological outcomes and a low rate of procedure-related complications. Additional case series are needed to help discern if our observations are present in a broader array of patients in order to identify which patients are most likely to benefit from mechanical thrombectomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Endovascular Mechanical Thrombectomy for Ischemic Stroke Treatment in the setting of Aortic Dissection

Cruz-Saavedra,

Patel,

Siragusa

et al. 2024

Case Rep Neurol

View full text Add to dashboard Cite

show abstract

“…The presence of an intimal flap and discrepancy in the diameter between the aortic root and ascending aorta from an aortogram are crucial for accurate diagnosis. IVUS has also been reportedly used to diagnose the aortic dissection flap that extends into the coronary artery 5 6…”

Section: Discussionmentioning

confidence: 99%

Anterior STEMI complicating acute aortic syndrome: mechanistic insight and bridge to surgery with intravascular ultrasound-guided primary PCI

2022

View full text Add to dashboard Cite

Stanford type A acute aortic syndromes (AAS) can be complicated with acute coronary closure and ST segment elevation myocardial infarction (STEMI) leading to significant additional morbidity and mortality. The recommended treatment for type A AAS is emergency cardiac surgery. We present the case of a patient with intramural haematoma involving the ascending and descending aorta complicated with anterior wall STEMI after CT imaging. Coronary angiography and intravascular ultrasonography (IVUS) revealed the dissection spiralling into the media of the left main stem (LMS) and left anterior descending (LAD) coronary artery. In the setting of acute vessel closure and ongoing myocardial ischaemia primary percutaneous coronary intervention (PCI) was performed to the LMS, LAD and second diagonal branch prior to successful emergency cardiac surgery with an aortic-arch interposition graft. Emergency IVUS-guided stenting to relieve acute coronary occlusion in the context of aortic dissection can be performed in selected cases to safely bridge the patient for cardiac surgery.

show abstract

Utility of intracoronary imaging in the cardiac catheterization laboratory: comprehensive evaluation with intravascular ultrasound and optical coherence tomography

Parviz

Shlofmitz

Fall

et al. 2018

British Medical Bulletin

View full text Add to dashboard Cite

show abstract

Using sound advice—intravascular ultrasound as a diagnostic tool

Cited by 3 publications

References 13 publications

Endovascular Mechanical Thrombectomy for Ischemic Stroke Treatment in the setting of Aortic Dissection

Endovascular Mechanical Thrombectomy for Ischemic Stroke Treatment in the setting of Aortic Dissection

Anterior STEMI complicating acute aortic syndrome: mechanistic insight and bridge to surgery with intravascular ultrasound-guided primary PCI

Utility of intracoronary imaging in the cardiac catheterization laboratory: comprehensive evaluation with intravascular ultrasound and optical coherence tomography

Contact Info

Product

Resources

About