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.
B型夹层患者电切开术后主动脉内膜内陷和隔膜切除术1例
胸主动脉血管内修复术(T-EVAR)是B型主动脉夹层患者的标准治疗方法,有适当的修复指征。该手术需要解剖、临床和技术检查,并考虑潜在的进一步修复。补充手术并不罕见。中隔切开术作为一种辅助手术,以电外科技术的形式重新引起人们的兴趣,目的是改善真正的管腔着陆区,更好地进入重要的目标分支血管。新出现的报告显示了良好的临床结果,尽管有相关的血栓栓塞风险,临床医生应该认识到。病例报告:本病例报告描述了一例B型主动脉夹层患者采用电切开术导致主动脉内膜内陷的重要并发症。结论电鼻中隔切开术是一种有效的方法,可以改善TEVAR内移植物的着落区,但在手术时机上需要谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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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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