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Extensive Iatrogenic Aortic Dissection During Renal Angioplasty: Successful Treatment with a Covered Stent-Graft

Rasmus, M. ; Huegli, R. ; Jacob, A.L. ; Aschwanden, M. ; Bilecen, D.

In: CardioVascular and Interventional Radiology, 2007, vol. 30, no. 3, p. 497-500

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    Titel
    • Extensive Iatrogenic Aortic Dissection During Renal Angioplasty: Successful Treatment with a Covered Stent-Graft
    Autor
    • Rasmus, M.. Interventional Radiology, University Hospital of Basel, Petersgraben 4, 4056, Basel, Switzerland
    • Huegli, R.. Interventional Radiology, University Hospital of Basel, Petersgraben 4, 4056, Basel, Switzerland
    • Jacob, A.L.. Interventional Radiology, University Hospital of Basel, Petersgraben 4, 4056, Basel, Switzerland
    • Aschwanden, M.. Department of Angiology, University Hospital of Basel, Basel, Switzerland
    • Bilecen, D.. Interventional Radiology, University Hospital of Basel, Petersgraben 4, 4056, Basel, Switzerland
    Dokumententyp
    • Postprint
    Sprache
    • Englisch
    Veröffentlicht in
    • CardioVascular and Interventional Radiology, 2007, vol. 30, no. 3, p. 497-500. Springer-Verlag; www.springer-ny.com
    Andere elektronische Ausgabe
    OAI-PMH-ID
    • oai:doc.rero.ch:310921
    Summary
    An extensive iatrogenic aortic type B dissection during percutaneous transluminal renal angioplasty (PTRA) for bilateral renal artery stenosis was treated with a covered stent placed in the right renal artery. Control angiography confirmed closure of the entry. Postprocedural CT demonstrated a thick intramural hematoma (IMH) up to the left subclavian artery. CT follow-up at 8 months showed an almost complete resorption of the IMH. While medical treatment is the standard therapy for type B dissections, closure of the intimal tear with a covered stent may be an additional option in extensive cases during PTRA