skip to main content

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

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.
Authors:
; ;  [1] ;  [2] ;  [3]
  1. University Hospital of Basel, Interventional Radiology (Switzerland)
  2. University Hospital of Basel, Department of Angiology (Switzerland)
  3. University Hospital of Basel, Interventional Radiology (Switzerland), E-mail: dbilecen@uhbs.ch
Publication Date:
OSTI Identifier:
21090970
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 30; Journal 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)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; GRAFTS; HEMATOMAS; KIDNEYS; THERAPY