Intravascular ultrasound-guided creation of re-entry sites to improve intermittent claudication in patients with aortic dissection

Husmann, Marc J; Kickuth, Ralf; Ludwig, Karin; Schmidli, Jürg; Baumgartner, Iris; Triller, Jürgen; Do, Dai-Do (2006). Intravascular ultrasound-guided creation of re-entry sites to improve intermittent claudication in patients with aortic dissection. Journal of endovascular therapy, 13(3), pp. 424-8. Phoenix, Ariz.: International Society of Endovascular Specialists 10.1583/05-1807.1

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PURPOSE: To report percutaneous fenestration of aortic dissection flaps to relieve distal ischemia using a novel intravascular ultrasound (IVUS)-guided fenestration device. CASE REPORTS: Two men (47 and 62 years of age) with aortic dissection and intermittent claudication had percutaneous ultrasound-guided fenestration performed under local anesthesia. Using an ipsilateral transfemoral approach, the intimal flap was punctured under real-time IVUS guidance using a needle-catheter combination through which a guidewire was placed across the dissection flap into the false lumen. The fenestration was achieved using balloon catheters of increasing diameter introduced over the guidewire. Stenting of the re-entry was performed in 1 patient to equalize pressure across the dissection membrane in both lumens. The procedures were performed successfully and without complications. In both patients, ankle-brachial indexes improved from 0.76 to 1.07 and from 0.8 to 1.1, respectively. Both patients were without claudication at the 3- and 6-month follow-up examination. CONCLUSION: Percutaneous intravascular ultrasound-guided fenestration and stenting at the level of the iliac artery in aortic dissection patients with claudication is a technically feasible and safe procedure and relieves symptoms.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Angiology
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Husmann, Marc; Kickuth, Ralph; Schmidli, Jürg; Baumgartner, Iris; Triller, Kurt-Jürgen and Do, Dai-Do

ISSN:

1526-6028

ISBN:

16784333

Publisher:

International Society of Endovascular Specialists

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:45

Last Modified:

04 May 2014 23:13

Publisher DOI:

10.1583/05-1807.1

PubMed ID:

16784333

Web of Science ID:

000238334300021

URI:

https://boris.unibe.ch/id/eprint/18777 (FactScience: 1015)

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