Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection
We describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen...
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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/S2468428724002478 |
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author | Nabil Saouti, MD, PhD Guillaume S.C. Geuzebroek, MD, PhD Sjoerd F.M. Jenniskens, MD Robin H. Heijmen, MD, PhD |
author_facet | Nabil Saouti, MD, PhD Guillaume S.C. Geuzebroek, MD, PhD Sjoerd F.M. Jenniskens, MD Robin H. Heijmen, MD, PhD |
author_sort | Nabil Saouti, MD, PhD |
collection | DOAJ |
description | We describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen flow. This technique may be an alternative and more complete when compared with a frozen elephant trunk procedure at onset. Additionally, favorable remodeling of the entire thoracic aorta is observed. |
format | Article |
id | doaj-art-33bef5787bb745dda1c52c263beecb30 |
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-33bef5787bb745dda1c52c263beecb302025-01-20T04:17:43ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101663Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissectionNabil Saouti, MD, PhD0Guillaume S.C. Geuzebroek, MD, PhD1Sjoerd F.M. Jenniskens, MD2Robin H. Heijmen, MD, PhD3Department of Cardio-Thoracic Surgery, Radboud Umc, Nijmegen, The Netherlands; Correspondence: Nabil Saouti, MD, PhD, Department of Cardio-Thoracic Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, Postbus 9101, Nijmegen 6525 GA, The NetherlandsDepartment of Cardio-Thoracic Surgery, Radboud Umc, Nijmegen, The NetherlandsDepartment of Radiology, Radboud Umc, Nijmegen, The NetherlandsDepartment of Cardio-Thoracic Surgery, Radboud Umc, Nijmegen, The NetherlandsWe describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen flow. This technique may be an alternative and more complete when compared with a frozen elephant trunk procedure at onset. Additionally, favorable remodeling of the entire thoracic aorta is observed.http://www.sciencedirect.com/science/article/pii/S2468428724002478Retrograde type A dissectionZone 2 arch replacementStaged hybrid treatmentTEVARRemodeling |
spellingShingle | Nabil Saouti, MD, PhD Guillaume S.C. Geuzebroek, MD, PhD Sjoerd F.M. Jenniskens, MD Robin H. Heijmen, MD, PhD Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection Journal of Vascular Surgery Cases and Innovative Techniques Retrograde type A dissection Zone 2 arch replacement Staged hybrid treatment TEVAR Remodeling |
title | Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection |
title_full | Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection |
title_fullStr | Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection |
title_full_unstemmed | Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection |
title_short | Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection |
title_sort | staged hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type a aortic dissection |
topic | Retrograde type A dissection Zone 2 arch replacement Staged hybrid treatment TEVAR Remodeling |
url | http://www.sciencedirect.com/science/article/pii/S2468428724002478 |
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