Coil-assisted false lumen thrombosis in complicated chronic type B dissection.
Type B dissections complicated by pain, malperfusion, or aneurysm expansion mandate surgical intervention. Success of this therapy is predicated on exclusion and thrombosis of the false lumen of the aneurysm. We report a case where cessation of flow was achieved using covered stent grafts in conjunction with coil embolization of the false lumen. The introduction of coils into the false lumen is a novel approach and may provide a helpful adjunct in endovascular treatment of complicated type B aortic dissections.
Hager
Eric
E
Division of Vascular Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA. erichager777@yahoo.com
Moudgill
Neil
N
Lipman
Adam
A
Dimuzio
Paul
P
Lombardi
Joseph
J
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography / Q000379:methods; D017130:Angioplasty / Q000295:instrumentation / Q000379:methods*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D021721:Balloon Occlusion / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome