title: Endovascular longitudinal fenestration and stent graft placement for treatment of aneurysms developing after chronic type B aortic dissection.
abstract: The thickened intimal flap present in cases of chronic aortic dissection can present a challenge to attempts at endovascular stent graft treatment performed for subsequent aneurysmal degeneration by precluding adequate landing zones for the endograft and by constraining the endograft from full expansion. In this report we describe our technique and outcome for longitudinal endovascular fenestration of chronic aortic dissection flaps to facilitate endovascular stent graft treatment for thoracic aortic aneurysms developing after aortic dissection.
authors: Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex.
authors: Neal R
authors: NR
authors: Barshes
authors: Division of Vascular and Endovascular Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Mass.
authors: Edwin C
authors: EC
authors: Gravereaux
authors: Division of Vascular and Endovascular Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Mass.
authors: Marcus
authors: M
authors: Semel
authors: Division of Cardiac Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Mass.
authors: R Morton
authors: RM
authors: Bolman
authors: Division of Vascular and Endovascular Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, Mass. Electronic address: mbelkin@partners.org.
authors: Michael
authors: M
authors: Belkin
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D002908:Chronic Disease; D018450:Disease Progression; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed