RSS-Feed abonnieren
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0042-1755610
Rescue of Compromised Cerebral Circulation in Hybrid TEVAR for Type B Aortic Dissection
![](https://www.thieme-connect.de/media/10.1055-s-00033348/202302/lookinside/thumbnails/10-1055-s-0042-1755610_2100021-1.jpg)
Clinical Details
A 60-year-old female presented with complicated type B aortic dissection (end organ ischemia), with location of entry tear just distal to origin of left subclavian artery ([Fig. 1A]). She had a hypoplastic right vertebral artery ending as posterior inferior cerebellar artery, with dominant left vertebral artery solely constituting the vertebrobasilar circulation ([Fig. 1B]). Hence, she was planned for emergency left subclavian artery to common carotid artery (CCA) bypass, followed by hybrid thoracic endovascular aortic repair (TEVAR).
![](https://www.thieme-connect.de/media/10.1055-s-00033348/202302/thumbnails/10-1055-s-0042-1755610-i2100021-1.jpg)
![Zoom Image](/products/assets/desktop/css/img/icon-figure-zoom.png)
Publikationsverlauf
Artikel online veröffentlicht:
12. September 2022
© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Thakkar D, Dake MD. Management of type B aortic dissections: treatment of acute dissections and acute complications from chronic dissections. Tech Vasc Interv Radiol 2018; 21 (03) 124-130
- 2 Feezor RJ, Martin TD, Hess PJ. et al. Risk factors for perioperative stroke during thoracic endovascular aortic repairs (TEVAR). J Endovasc Ther 2007; 14 (04) 568-573
- 3 Wang L, Guo D, Jiang J, Shi Z, Fu W, Wang Y. Severe compression of a bailout self-expanding chimney stent for rescuing the miscoverage of left common carotid artery during TEVAR of a type B aortic dissection. Ann Vasc Surg 2014; 28 (03) 742.e9-742.e12
- 4 Baldwin ZK, Chuter TA, Hiramoto JS, Reilly LM, Schneider DB. Double-barrel technique for endovascular exclusion of an aortic arch aneurysm without sternotomy. J Endovasc Ther 2008; 15 (02) 161-165
- 5 Li HL, Chan YC, Jia HY, Cheng SW. Methods and clinical outcomes of in situ fenestration for aortic arch revascularization during thoracic endovascular aortic repair. Vascular 2020; 28 (04) 333-341