Geometric Analysis of Complex Endovascular Treatment of a Successfully Completed Residual Post-Type A Aortic Dissection

Alice Finotello; Bianca Pane; Mauro Di Bartolo; Rachele Del Pizzo; Simone Mambrini; Giovanni Pratesi; Giovanni Spinella

doi:10.1055/s-0042-1743201

AORTA, Inhaltsverzeichnis

CC BY 4.0 · Aorta (Stamford) 2022; 10(02): 85-88
DOI: 10.1055/s-0042-1743201

Case Report

Geometric Analysis of Complex Endovascular Treatment of a Successfully Completed Residual Post-Type A Aortic Dissection

Alice Finotello

¹Department of Surgical and Integrated Diagnostic Sciences, University of Genoa, Genoa, Italy

,

Bianca Pane

²Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy

,

Mauro Di Bartolo

²Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy

,

Rachele Del Pizzo

²Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy

,

Simone Mambrini

²Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy

,

Giovanni Pratesi

²Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy

,

Giovanni Spinella

²Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy

› Institutsangaben

Abstract

We describe a case of complex multistep endovascular treatment of a post-Type A thoracoabdominal dissected aneurysm. Volume analysis documents true and false lumen improvements during follow-up. Centerline tortuosity of the aorta and of the iliac arteries straightens after endovascular treatment completion. In addition, analysis of stent-graft remodeling reveals the stent-graft tendency to spring back to its original status together with a caudal migration of the fenestrated body.

Keywords

residual Type A dissection - TEVAR - geometric analysis

Volltext

Referenzen

References
1 Tsilimparis N, Haulon S, Spanos K. et al. Combined fenestrated-branched endovascular repair of the aortic arch and the thoracoabdominal aorta. J Vasc Surg 2020; 71 (06) 1825-1833
2 Verscheure D, Haulon S, Tsilimparis N. et al. Endovascular treatment of post type A chronic aortic arch dissection with a branched endograft: early results from a retrospective international multicenter study. Ann Surg 2020
3 Ullery BW, Suh GY, Lee JT. et al. Comparative geometric analysis of renal artery anatomy before and after fenestrated or snorkel/chimney endovascular aneurysm repair. J Vasc Surg 2016; 63 (04) 922-929
4 Spinella G, Finotello A, Pisa FR. et al. Geometrical evaluation of aortic sac remodeling during two-step thoraco-abdominal aortic aneurysm endovascular repair. Ann Vasc Surg 2020
5 Kölbel T. We need to secure the backdoor in aortic dissection treatment!. J Endovasc Ther 2020; 27 (02) 228-230
6 Carta N, Salvati S, Melissano G, Chiesa R, Bertoglio L. Staged fenestrated/branched repair of post dissecting thoracoabdominal aneurysm with Candy-Plug false lumen occlusion for spinal cord preconditioning. J Endovasc Ther 2020; 27 (02) 221-227
7 Spinella G, Finotello A, Conti M. et al. Assessment of geometrical remodelling of the aortic arch after hybrid treatment. Eur J Cardiothorac Surg 2019; 55 (06) 1045-1053
8 Martin-Gonzalez T, Mastracci T, Carrell T. et al. Mid-term outcomes of renal branches versus renal fenestrations for thoraco-abdominal aneurysm repair. Eur J Vasc Endovasc Surg 2016; 52 (02) 141-148