Rescue intervention after three days of renal ischemia caused by acute complicated type B aortic dissection. (March 2018)

• Record Type: Journal Article
• Authors: Lai, Chih-Hung; Chang, Keng-Hao; Chang, Szu-Ling; Lai, Hui-Chih; Lee, Wen-Lieng; Liu, Tsun-Jui
• Is Part Of: Perfusion. Volume 33:Number 2(2018)
• Page Start: 156
• Page End: 159
• Publication Date: 2018-03
• Subjects: type B aortic dissection -- endovascular therapy -- intravascular ultrasound -- malperfusion syndrome; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659117727341
• Languages: English
• ISSNs: 0267-6591

Abstract

Complicated type B dissection is associated with a high mortality rate due to malperfusion syndrome or progression of the dissection for which aggressive therapy with an endovascular or surgical intervention is recommended. Herein, we present a patient who received a successful percutaneous rescue intervention after three days of renal ischemia caused by a complicated type B dissection. This type of rescue of percutaneous intervention with branch vessel stenting appears to be useful in treating malperfusion syndrome caused by aortic dissection, even after a period of organ ischemia.