Coil embolization of an aneurysmal type B dissection persistent false lumen after visceral hybrid repair.
Complex aortic dissections with subsequent dilatation may be managed by using a visceral hybrid approach. In some cases, however, there is substantial retrograde blood flow into the false lumen, leaving a pressurized aneurysmal segment. The authors describe a novel treatment method whereby successful seal of a distal type 1 endoleak was achieved with coil embolization and a liquid injectable embolic agent. The patient was followed up for 2 years without further aortic dilatation or complications.
Riga
Celia
C
Regional Vascular Unit, Waller Cardiac Building, St Mary's Hospital, London, England. c.riga@imperial.ac.uk
Bicknell
Colin
C
Jenkins
Michael
M
Hamady
Mohamad
M
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011475:Prosthesis Failure; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome