Extensive Iatrogenic Aortic Dissection During Renal Angioplasty: Successful Treatment with a Covered Stent-Graft

Journal Article · Fri Jun 15 00:00:00 EDT 2007 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-006-0034-7· OSTI ID:21090970

Rasmus, M; Huegli, R; Jacob, A L ^[1]; Aschwanden, M ^[2]

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1. University Hospital of Basel, Interventional Radiology (Switzerland)
2. University Hospital of Basel, Department of Angiology (Switzerland)

An extensive iatrogenic aortic type B dissection during percutaneous transluminal renal angioplasty (PTRA) for bilateral renal artery stenosis was treated with a covered stent placed in the right renal artery. Control angiography confirmed closure of the entry. Postprocedural CT demonstrated a thick intramural hematoma (IMH) up to the left subclavian artery. CT follow-up at 8 months showed an almost complete resorption of the IMH. While medical treatment is the standard therapy for type B dissections, closure of the intimal tear with a covered stent may be an additional option in extensive cases during PTRA.

• OSTI ID: 21090970
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 30, Issue 3; Other Information: DOI: 10.1007/s00270-006-0034-7; Copyright (c) 2007 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

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