title: Chronic type B dissections: are fenestrated and branched endografts an option?
abstract: While there are centers reporting encouraging outcomes after endovascular repair of thoracoabdominal aortic aneurysms, chronic dissections (a specific etiological subgroup of thoracoabdominal aneurysms) present an even greater technical and clinical challenge. There are particular technical issues associated with the management of the proximal sealing zone, the need to work in a narrow aortic lumen and also to maintain perfusion of all target (visceral and supra-aortic) vessels including those perfused by the false lumen. We present here the various endovascular options available for the treatment of these complex aortic lesions.
authors: Department of Vascular Surgery, CHRU de Lille, Lille Nord de France University, Lille, France.
authors: J
authors: J
authors: Sobocinski
authors: A
authors: A
authors: Hertault
authors: M
authors: M
authors: Tyrrell
authors: B
authors: B
authors: Maurel
authors: R
authors: R
authors: Azzaoui
authors: S
authors: S
authors: Haulon
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D002908:Chronic Disease; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome