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Crushing of a bridging stent during follow-up of endovascular branched aortic arch repair – a novel mode of failure.

Dijkstra, Martijn L. ; Karelis, Angelos LU orcid ; Sonesson, Björn LU ; Vaccarino, Roberta LU and Dias, Nuno V. LU orcid (2022) In Journal of Vascular Surgery Cases and Innovative Techniques
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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author
; ; ; and
publishing date
type
Contribution to journal
publication status
epub
in
Journal of Vascular Surgery Cases and Innovative Techniques
publisher
Elsevier
external identifiers
  • scopus:85139727105
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
2022-12-07 04:06:34
@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}},
  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}},
  year         = {{2022}},
}