Authors:
Zoltán Szeberin Semmelweis University, Budapest, Hungary

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Balázs Nemes Semmelweis University, Budapest, Hungary

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Csaba Csobay-Novák Semmelweis University, Budapest, Hungary

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Zsuzsa Mihály Semmelweis University, Budapest, Hungary

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László Entz Semmelweis University, Budapest, Hungary

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Open access

The best solution for enlarging chronic type B aortic dissection is not known. Hybrid surgical and endovascular procedures offer a reliable solution in such circumstances, but technically complex stent-graft designs are sometimes needed when the treatment segment of the aorta presents anatomical challenges. We report a case of a proximally scalloped custom-made stent-graft implantation following left subclavian artery transposition in a formerly cocaine-abuser patient. The one-month follow-up computed tomography angiography showed a proximal endoleak (type Ia) which was successfully solved by coil embolization. Proximally scalloped stent grafts offer a reliable solution in complex aortic dissections involving the supra-aortic branches.

  • 1.

    Weigang E , Parker JA, Czerny MA, Lonn L, Bonser RS, Carrel TP, Mestres CA, Di Bartolomeo R, Schepens MA, Bachet JE, Vahl CF, Grabenwoger M: Should intentional endovascular stent graft coverage of the left subclavian artery be preceded by prophylactic revascularisation? Eur J Cardiothorac Surg 40, 44874488 (2011)

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  • 2.

    Daniel JC , Huynh TT, Zhou W, Kougias P, El Sayed HF, Huh J, Coselli JS, Lin PH, LeMaire SA: Acute aortic dissection associated with use of cocaine. J Vasc Surg 46, 44874488 (2007)

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  • 3.

    Alsafi A , Bicknell CD, Rudarakanchana N, Kashef E, Gibbs RG, Cheshire NJ, Jenkins MP, Hamady M: Endovascular treatment of thoracic aortic aneurysms with a short proximal landing zone using scalloped endografts. J Vasc Surg 60, 44874488 (2014)

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  • 4.

    Szeberin Z , Firneisz G, Bíró G, Szabó GV, Sótonyi P, Windisch M, Krepuska M, Sípos F, Mihály E, Acsády G.: Surgical treatment of acute type-B aortic dissection associated with cocaine use. Orv Hetil 150, 44874488 (2009)

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  • 5.

    Kim JB , Sundt TM 3rd: Best surgical option for arch extension of type B aortic dissection: the open approach. Ann Cardiothorac Surg 3, 44874488 (2014)

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  • 6.

    Wörz S , von Tengg-Kobligk H, Henninger V: 3-D quantification of the aortic arch morphology in 3-D CTA data for endovascular aortic repair. IEEE Trans Biomed Eng 57, 44874488 (2010)

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  • 7.

    Ricotta JJ 2nd : Endoleak management and postoperative surveillance following endovascular repair of thoracic aortic aneurysms. J Vasc Surg 52, 91S–9S (2010)

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2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

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