Crushing of a bridging stent during follow-up of endovascular branched aortic arch repair – a novel mode of failure.
(2022) In Journal of Vascular Surgery Cases and Innovative Techniques 8(4). p.646-650- Abstract
A 68-year-old man developed aneurysmal degeneration of the aortic arch and proximal descending aorta after an open ascending graft for a type A aortic dissection. A 3 branched endovascular aortic arch repair was performed with patency of all branches despite some degree of initial misalignment of the branches in relation to the target vessels. At 6 months post-operatively an asymptomatic partial crushing of the left common carotid bridging grafts was observed on computed tomography angiography. This was treated by reinforcing the branch with a balloon expandable endograft. The post-operative course was uneventful but a CTA after one month showed recurrent asymptomatic compression. A left carotid-subclavian bypass was eventually... (More)
A 68-year-old man developed aneurysmal degeneration of the aortic arch and proximal descending aorta after an open ascending graft for a type A aortic dissection. A 3 branched endovascular aortic arch repair was performed with patency of all branches despite some degree of initial misalignment of the branches in relation to the target vessels. At 6 months post-operatively an asymptomatic partial crushing of the left common carotid bridging grafts was observed on computed tomography angiography. This was treated by reinforcing the branch with a balloon expandable endograft. The post-operative course was uneventful but a CTA after one month showed recurrent asymptomatic compression. A left carotid-subclavian bypass was eventually performed. We have reported a new failure mode of an inner branch arch repair of residual type A chronic dissection. (Less)
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https://lup.lub.lu.se/record/a3a13024-07de-4d66-870f-f304626dc34e
- author
- Dijkstra, Martijn L. ; Karelis, Angelos LU ; Sonesson, Björn LU ; Vaccarino, Roberta LU and Dias, Nuno V. LU
- publishing date
- 2022
- type
- Contribution to journal
- publication status
- published
- in
- Journal of Vascular Surgery Cases and Innovative Techniques
- volume
- 8
- issue
- 4
- pages
- 646 - 650
- publisher
- Elsevier
- external identifiers
-
- scopus:85139727105
- pmid:36248390
- ISSN
- 2468-4287
- DOI
- 10.1016/j.jvscit.2022.07.013
- language
- English
- LU publication?
- no
- id
- a3a13024-07de-4d66-870f-f304626dc34e
- date added to LUP
- 2022-10-03 07:17:46
- date last changed
- 2023-10-26 15:00:44
@article{a3a13024-07de-4d66-870f-f304626dc34e, abstract = {{<br/>A 68-year-old man developed aneurysmal degeneration of the aortic arch and proximal descending aorta after an open ascending graft for a type A aortic dissection. A 3 branched endovascular aortic arch repair was performed with patency of all branches despite some degree of initial misalignment of the branches in relation to the target vessels. At 6 months post-operatively an asymptomatic partial crushing of the left common carotid bridging grafts was observed on computed tomography angiography. This was treated by reinforcing the branch with a balloon expandable endograft. The post-operative course was uneventful but a CTA after one month showed recurrent asymptomatic compression. A left carotid-subclavian bypass was eventually performed. We have reported a new failure mode of an inner branch arch repair of residual type A chronic dissection.}}, author = {{Dijkstra, Martijn L. and Karelis, Angelos and Sonesson, Björn and Vaccarino, Roberta and Dias, Nuno V.}}, issn = {{2468-4287}}, language = {{eng}}, number = {{4}}, pages = {{646--650}}, publisher = {{Elsevier}}, series = {{Journal of Vascular Surgery Cases and Innovative Techniques}}, title = {{Crushing of a bridging stent during follow-up of endovascular branched aortic arch repair – a novel mode of failure.}}, url = {{http://dx.doi.org/10.1016/j.jvscit.2022.07.013}}, doi = {{10.1016/j.jvscit.2022.07.013}}, volume = {{8}}, year = {{2022}}, }