Aortic Intimal Invagination and Septectomy Following Electrosurgical Septotomy in a Patient With a Type B Dissection

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE
Cecilie Markvard Møller, Steen Fjord Pedersen, Jacob Budtz-Lilly
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引用次数: 0

Abstract

Introduction

Thoracic endovascular aortic repair (T-EVAR) is the standard treatment in patients with a type B aortic dissection and appropriate indications for repair. The procedure requires anatomical, clinical, and technical scrutiny, as well as consideration for potential further repair. Supplementary procedures are not uncommon. Septotomy has received renewed interest as an adjunctive procedure, in the form of electrosurgical techniques, with the objective of improving true lumen landing zones and better access to important target branch vessels. Emerging reports suggest favourable clinical outcomes, although there are associated thromboembolic risks that clinicians should recognise.

Case report

This case report describes an important complication of electrosurgical septotomy causing aortic intimal invagination in a patient with a type B aortic dissection.

Conclusion

Electrosurgical septotomy is an effective method to gain improved landing zones for TEVAR endograft placement, but caution is warranted in the timing of this procedure.
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来源期刊
EJVES Vascular Forum
EJVES Vascular Forum Medicine-Surgery
CiteScore
1.50
自引率
0.00%
发文量
145
审稿时长
102 days
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