Frequency of abdominal aortic expansion after thoracic endovascular repair of type B aortic dissection.

Weber, Tim F; Böckler, Dittmar; Müller-Eschner, Matthias; Bischoff, Moritz; Kronlage, Moritz; Von Tengg-Kobligk, Hendrik; Kauczor, Hans-Ulrich; Hyhlik-Dürr, Alexander (2016). Frequency of abdominal aortic expansion after thoracic endovascular repair of type B aortic dissection. Vascular, 24(6), pp. 567-579. Sage Publications 10.1177/1708538115627249

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PURPOSE To determine abdominal aortic expansion after thoracic endovascular aortic repair (TEVAR) in patients with aortic dissection type B and 36 months minimum follow-up. METHODS Retrospective study of 18 TEVAR patients with follow-up >36 months. Abdominal aortic diameters at celiac trunk (location B) and infrarenal aorta (location C) were recorded on the first and last imaging after TEVAR. False lumen thrombosis was determined at level of endograft (A) and at B and C. Aortic expansion was defined as diameter increase of 5 mm or 15%. Correlation analyses were performed to investigate potential determinants of expansion. RESULTS Median follow-up was 75.2 months. Sixteen of 18 patients (88.9%) demonstrated abdominal expansion. Mean expansion was 9.9 ± 6.1 mm at B and 11.7 ± 6.5 mm at C, without a difference between acute and chronic dissections. Critical diameters of 55 mm were reached in two patients treated for chronic dissection (11.1%). Annual diameter increase was significantly greater at locations with baseline diameters >30 mm (2.1 ± 1.1 mm vs. 1.0 ± 0.6 mm, p = 0.009). Baseline diameters were greater in patients with chronic dissections. CONCLUSION Abdominal aortic expansion can be frequently recognized after TEVAR for aortic dissection type B and occurs independently from thoracic false lumen thrombosis. Clinical significant abdominal aortic expansion may occur more frequently in patients treated with TEVAR for chronic dissection.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology

UniBE Contributor:

Von Tengg-Kobligk, Hendrik

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1708-5381

Publisher:

Sage Publications

Language:

English

Submitter:

Karin Hofmann

Date Deposited:

24 Apr 2017 09:14

Last Modified:

24 Apr 2017 09:14

Publisher DOI:

10.1177/1708538115627249

PubMed ID:

26787656

Uncontrolled Keywords:

Aortic dissection; endovascular repair; expansion; follow-up; imaging

BORIS DOI:

10.7892/boris.94145

URI:

https://boris.unibe.ch/id/eprint/94145

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