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Percutaneous bare Z‐stent implantation as an alternative to surgery for acute aortic dissection with visceral ischemia
Author(s) -
Ito Naoki,
Tsunoda Taro,
Nakamura Masato,
Iijima Raisuke,
Matsuda Kenichi,
Suzuki Tomotake,
Takagi Takuro,
Hirai Hironori,
Yamaguchi Tetsu
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10386
Subject(s) - medicine , aortic dissection , stent , percutaneous , intravascular ultrasound , dissection (medical) , radiology , diaphragm (acoustics) , surgery , ischemia , lumen (anatomy) , bare metal stent , cardiology , aorta , drug eluting stent , acoustics , restenosis , physics , loudspeaker
We describe a case of Stanford type B acute aortic dissection causing visceral ischemia. An aortogram showed an hourglass‐like narrowing of the true lumen at the diaphragm with a 60 mm Hg pressure gradient. Placement of a self‐expanding metallic Z‐stent under intravascular ultrasound guidance restored blood flow to the viscera. Cathet Cardiovasc Intervent 2003;58:95–100. © 2003 Wiley‐Liss, Inc.