Rescue intervention after three days of renal ischemia caused by acute complicated type B aortic dissection

Complicated type B dissection is associated with a high mortality rate due to malperfusion syndrome or progression of the dissection for which aggressive therapy with an endovascular or surgical intervention is recommended. Herein, we present a patient who received a successful percutaneous rescue i...

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Published inPerfusion Vol. 33; no. 2; p. 156
Main Authors Lai, Chih-Hung, Chang, Keng-Hao, Chang, Szu-Ling, Lai, Hui-Chih, Lee, Wen-Lieng, Liu, Tsun-Jui
Format Journal Article
LanguageEnglish
Published England 01.03.2018
Subjects
intravascular ultrasound
type B aortic dissection
malperfusion syndrome
endovascular therapy
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Summary:Complicated type B dissection is associated with a high mortality rate due to malperfusion syndrome or progression of the dissection for which aggressive therapy with an endovascular or surgical intervention is recommended. Herein, we present a patient who received a successful percutaneous rescue intervention after three days of renal ischemia caused by a complicated type B dissection. This type of rescue of percutaneous intervention with branch vessel stenting appears to be useful in treating malperfusion syndrome caused by aortic dissection, even after a period of organ ischemia.
ISSN:1477-111X
DOI:10.1177/0267659117727341