Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection
This case report describes the endovascular management of a hybrid arch dissection stent inadvertently deployed in the false lumen during acute type A aortic dissection repair, resulting in renal and lower extremity malperfusion. Prompt identification and intervention are essential to minimize the m...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002430 |
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| author | Rudra Pandya, BSc Luc Dubois, MSc Oonagh Scallan, MD |
| author_facet | Rudra Pandya, BSc Luc Dubois, MSc Oonagh Scallan, MD |
| author_sort | Rudra Pandya, BSc |
| collection | DOAJ |
| description | This case report describes the endovascular management of a hybrid arch dissection stent inadvertently deployed in the false lumen during acute type A aortic dissection repair, resulting in renal and lower extremity malperfusion. Prompt identification and intervention are essential to minimize the morbidity and mortality associated with malperfusion. Various endovascular strategies exist to restore perfusion, and this case highlights a unique approach given the obliteration of the true lumen proximally and anatomy of the visceral ostia predominantly originating from the false lumen. |
| format | Article |
| id | doaj-art-e8c8a953088541bdbad7f41efaf35a46 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-e8c8a953088541bdbad7f41efaf35a462025-01-20T04:17:42ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101659Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissectionRudra Pandya, BSc0Luc Dubois, MSc1Oonagh Scallan, MD2Schulich School of Medicine and Dentistry, Western University, London, Ontario, CanadaDepartment of Vascular Surgery, Western University, London, Ontario, CanadaDepartment of Vascular Surgery, Western University, London, Ontario, Canada; Correspondence: Oonagh Scallan, MD, Department of Vascular Surgery, Western University, E1-421, 800 Commissioners Rd E, London, Ontario N6A 5W9, CanadaThis case report describes the endovascular management of a hybrid arch dissection stent inadvertently deployed in the false lumen during acute type A aortic dissection repair, resulting in renal and lower extremity malperfusion. Prompt identification and intervention are essential to minimize the morbidity and mortality associated with malperfusion. Various endovascular strategies exist to restore perfusion, and this case highlights a unique approach given the obliteration of the true lumen proximally and anatomy of the visceral ostia predominantly originating from the false lumen.http://www.sciencedirect.com/science/article/pii/S2468428724002430Aortic dissectionMalperfusionHybrid aortic arch repairEndovascular therapy |
| spellingShingle | Rudra Pandya, BSc Luc Dubois, MSc Oonagh Scallan, MD Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection Journal of Vascular Surgery Cases and Innovative Techniques Aortic dissection Malperfusion Hybrid aortic arch repair Endovascular therapy |
| title | Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection |
| title_full | Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection |
| title_fullStr | Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection |
| title_full_unstemmed | Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection |
| title_short | Endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type A dissection |
| title_sort | endovascular salvage of renal and common iliac artery malperfusion following inadvertent hybrid arch dissection stent deployment in the false lumen during repair of type a dissection |
| topic | Aortic dissection Malperfusion Hybrid aortic arch repair Endovascular therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002430 |
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