140 likes | 303 Views
Aortic Symposium New York 2012 „Pseudoaneurysm After Endovascular Stent Graft Placement for Treatment of Type B Aortic Dissection “. R.A. Jánosi, M. Bettin, T. Konorza, H. Kälsch, H. Eggebrecht, R. Erbel Department of Cardiology West German Heart Center Essen. Patient Characteristics.
E N D
Aortic Symposium New York 2012 „Pseudoaneurysm After Endovascular Stent Graft Placement for Treatment of Type B Aortic Dissection“ R.A. Jánosi, M. Bettin, T. Konorza, H. Kälsch, H. Eggebrecht, R. Erbel Department of Cardiology West German Heart Center Essen
Characteristics of 8 patients complicated with DPA after Endografting for Type B Dissection
Distal Pseudoaneurysm Yes No Yes-censored No-censored Rate of freedom Reintervention years
When passively bent at the arch, the self-expanding stent graft has the inherent tendency to spring back to its initial straight status.
When passively bent at the arch, the self-expanding stent graft has the inherent tendency to spring back to its initial straight status.
Conclusions • Endovascular treatment in chronic type B dissection has a high technical success rate and low mortality • Pseudoaneurysm of the thoracic aorta is a rare and potentially fatal condition • Potential mechanism: • Trauma caused by the semi-rigid stent graft • Fragility of the aortic wall and disease progression • Excessive radial force due to distal oversizing of the stent graft prosthesis to > 20% • Development of dissection-specific, less-rigid endo- prosthesis
Characteristics of 8 patients complicated with DPA after Endografting for Type B Dissection