Subclavian embolization associated to carotid-subclavian bypass and stent-graft repair of acute type-B dissection.
Intentional closure of the left subclavian artery (LSA) during an endovascular procedure can be complicated by retrograde filling of the excluded aorta, increasing the risk of aneurysm expansion and sudden rupture. Retrograde coil embolization of the LSA, as alternative to open subclavian ligature, is a safe and effective method of rapid false lumen sealing in patients requiring coverage of the LSA and carotid-subclavian bypass, even in the setting of acute aortic syndromes.
Botta
L
L
Cardiac Surgery Unit, Cardiothoracovascular Department, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy. rossella.fattori@unibo.it
La Palombara
C
C
Rosati
M
M
Di Bartolomeo
R
R
Fattori
R
R
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002339:Carotid Arteries / Q000601:surgery*; D017536:Carotid Artery, Common / Q000601:surgery; D002548:Cerebral Revascularization; D004621:Embolization, Therapeutic / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents; D013348:Subclavian Artery / Q000601:surgery*; D016896:Treatment Outcome