Thorac Cardiovasc Surg 2009; 57(4): 240-242
DOI: 10.1055/s-2008-1039220
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© Georg Thieme Verlag KG Stuttgart · New York

Subclavian Embolization Associated to Carotid-Subclavian Bypass and Stent-Graft Repair of Acute Type-B Dissection

L. Botta1 , C. La Palombara2 , M. Rosati2 , R. Di Bartolomeo1 , R. Fattori2
  • 1Cardiac Surgery Unit, Cardiothoracovascular Department, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
  • 2Cardiovascular Radiology Unit, Cardiothoracovascular Department, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy
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Publikationsverlauf

received September 8, 2008

Publikationsdatum:
20. Mai 2009 (online)

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Abstract

Intentional closure of the left subclavian artery (LSA) during an endovascular procedure can be complicated by retrograde filling of the excluded aorta, increasing the risk of aneurysm expansion and sudden rupture. Retrograde coil embolization of the LSA, as alternative to open subclavian ligature, is a safe and effective method of rapid false lumen sealing in patients requiring coverage of the LSA and carotid-subclavian bypass, even in the setting of acute aortic syndromes.

References

Prof. MD Rossella Fattori

Cardiovascular Radiology Unit, Cardiothoracovascular Department
S. Orsola-Malpighi Hospital
University of Bologna

Via Massarenti 9

40133 Bologna

Italy

Telefon: + 39 (0) 5 16 36 47 47

Fax: + 39 (0) 51 34 59 90

eMail: rossella.fattori@unibo.it