Abstract
Percutaneous balloon fenestration and stenting in acute aortic dissection
Highlights
Acute aortic dissection often leads to organ ischemia and has a high mortality rate
Fourteen patients were treated with stenting and balloon fenestration, 24 with stenting alone and two with fenestration alone
Of the three remaining patients one had mesenteric obstruction and the superior mesenteric artery could not be cannulated, another had thrombus obstructing the iliac vessels, and a third had limb and small bowel ischemia and died of multiple organ failure following amputation of her right leg.Ten patients died within three days of the procedure (25%); six of multiple organ failure, two from rupture of the false lumen, one from right heart failure and one from complications following surgery
Summary
Acute aortic dissection often leads to organ ischemia and has a high mortality rate. This paper reports the authors experience of percutaneous fenestration and endovascular stenting at Stanford University School of Medicine over the past six years. Forty patients with acute peripheral ischemic complications of acute dissecting aortic aneurysms underwent percutaneous treatment.
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