Addressing malperfusion first before repairing type A dissection

Yunus Ahmed, Pieter A J van Bakel, Himanshu J Patel, Yunus Ahmed, Pieter A J van Bakel, Himanshu J Patel

No abstract available

Keywords: aortic dissection; aortic repair.

Figures

https://www.ncbi.nlm.nih.gov/pmc/articles/instance/8690294/bin/fx1.jpg
Yunus Ahmed, MD, Himanshu J. Patel, MD, and Pieter A. J. van Bakel, MD
Figure 1
Figure 1
Different types of branch vessel obstruction: static (A), dynamic (B), and combination of both (C). Adapted with permission from Williams and colleagues.
Figure 2
Figure 2
Treatment algorithm applied at University of Michigan for clinical decision making in acute type A dissection patients. ICU, Intensive care unit. Reprinted with permission from Yang and colleagues.
Figure 3
Figure 3
Creating of a fenestration to equalize pressure gradients across lumens. The directection of the needle puncture is determined using intravascular ultrasound at the level of the needle tip, generally from true lumen into the false lumen (A). The catheter is advanced of the sylet into the false lumen, after which a wire is placed into the false lumen (B). An angioplasty balloon is centered across the flap and inflated to widen the fenestration and promote flow from the false-to-true lumen (C), thus creating a fenestration (D). SMA, Superior mesenteric artery. Reprinted with premission from Khayat and colleagues.
Figure 4
Figure 4
True lumen stenting to ensure vessel patency. Reprinted with premission from Khayat and colleagues.

References

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Source: PubMed

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