title: [Endovascular aortic repair plus chimney technique in the treatment of Stanford type B aortic dissection involving aortic arch].
abstract: OBJECTIVE
  To evaluate the efficacy of endovascular aortic repair plus chimney technique in the treatment of Stanford type B aortic dissection involving aortic arch.
  
  
  METHODS
  From June 2009 to March 2012, 32 patients of aortic arch dissection with primary entry tear next to the orifices of supra-aortic arteries were treated with chimney technique. Chimney technique was used to reconstruct left subclavian artery (n = 2) and left common carotid artery (n = 28). Double chimney technique was use to reconstruct innominate artery and left common carotid artery simultaneously in 2 patients.
  
  
  RESULTS
  Four patients received emergency operation. All patients survived and were followed up for 14.3 ± 7.4 months. No type I endoleak occurred. Among 4 patients with Type II endoleak, 3 received PDA occluding implantation in left subclavian artery and 1 patient in puerperium with Marfan syndrome and pregnancy-induced hypertension syndrome recovered by conservative treatment. No severe neurological complications and left subclavian artery ischemia occurred. The locations of aortic and chimney stent-grafts were stable without any migration. All stent-grafts remained patent.
  
  
  CONCLUSIONS
  Endovascular aortic repair plus chimney technique is a safe and effective treatment for Stanford type B aortic dissection involving aortic arch.
authors: Department of Vascular Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China. changshu01@yahoo.com
authors: Chang
authors: C
authors: Shu
authors: Tun
authors: T
authors: Wang
authors: Ming
authors: M
authors: Li
authors: Xin
authors: X
authors: Li
authors: Quan-ming
authors: QM
authors: Li
authors: Kun
authors: K
authors: Fang
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000145:classification / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome