Kongenital kalp hastaliklarinda siniflamalar ozel tanimlar dr. zeynep eyileten
Endovascular Repair for Type B Aortic Dissection Successfully Treats Visceral Artery Ischemia
1. Endovascular Repair for Type
B Aortic Dissection is
successful
and Durable
Chang Shu
The Second Xiangya Hospital, Central-South
University, China
Email: changshu01@yahoo.com
2. Visceral artery ischemia
From July,2002—Feb,2013: 926 AD cases:
Distal port of aorta ischemia: folding of the aorta: 1
Ischemia of the vertebral artery: 6
Celiac ischemia: 21
SMA ischemia: 19
Renal ischemia: 17
Spinal cord ischemia: 5
Lower limbs ischemia: 10
4. Result
All ischemia of the visceral arteries
were revised;
Two cases exist disfunctions because
of the spinal cord ischemia
One patient need another stent deploy
inside the renal artery
58. The first entry is
just near the left
Subclavian A, and
The left carotid A
Is also very near
the subclavian A
The left side vertebral
A ischemia
58
59. A right carotid to
Left carotid and
Subclabin A bypass
Is performed first
59
The traditional
Way to treat the
Dissection which
Aortic arch is
involved
60. A long
Stent-graft is used
To cover the first
Entry, and the left
Carotid and subclavin
A were also covered
60
62. Aortic dissection combined with
ischemia of the renal: kidney failure
17 aortic dissection combined with
kidney failure
12 patients had been given hemodialysis
before being treated by stent-graft (3days-2
weeks)
5 patient suffered from kidney failure for 2
days,
63. 17 case were treated via stent-graft
After deployed the stent-graft, the
kidney function were recover back well
among 1-14 days(14 cases).
3 cases were add another bear stent
inside the renal A after 2, 4, 6 weeks,
and the kidney function recover back.
64.
65.
66. Discussion
Emergency TEVAR is very important to the
ischemia of the visceral arteries;
Some AD with visceral artery ischemial
patients will be accept TEVAR a few days
later because of the bad conditions or
complications
Middle-term result of TEVAR for these
patients is successful and durable
