Repeated endovascular approaches achieve successful complete remodelling for type IIIb acute aortic dissection

Makoto Matsuura; Satoshi Kuroyanagi; Masaaki Kobayashi; Masatoshi Komooka

doi:10.1093/icvts/ivae062

Repeated endovascular approaches achieve successful complete remodelling for type IIIb acute aortic dissection

Interdiscip Cardiovasc Thorac Surg. 2024 Mar 29;38(4):ivae062. doi: 10.1093/icvts/ivae062.

Authors

Makoto Matsuura¹, Satoshi Kuroyanagi¹, Masaaki Kobayashi¹, Masatoshi Komooka²

Affiliations

¹ Department of Cardiovascular Surgery, Kishiwada Tokushukai Hospital, Osaka, Japan.
² Department of Cardiovascular Surgery, Yao Tokushukai Hospital, Osaka, Japan.

PMID: 38574387
DOI: 10.1093/icvts/ivae062

Abstract

Thoracic endovascular repair for type IIIb aortic dissection results in the disappearance of false lumen perfusion in the abdominal aorta in only about 20% of cases, with concern for expansion in the long term. Staged endovascular therapy with intervention on all re-entries can lead to complete false lumen thrombosis and remodelling of the entire aorta. This approach could be an option in cases in which long-term expansion is anticipated.

Keywords: Acute aortic dissection; TEVAR. PETTICOAT; remodeling.