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Technical note

Management of the false lumen in chronic aortic dissection

False lumen (FL) thrombosis and aortic remodeling is a major predictor of survival in chronic aortic dissection (AD). Chronic AD (> 3 months) is associated with a non-compliant intimal flap, multiple fenestrations in the intimal flap and aortic branch artery communication with the FL. This makes FL thrombosis and subsequent aortic remodeling difficult to achieve with conventional thoracic EVAR devices. This presentation provides an overview of different methods to manage FL in chronic AD.

September 29, 2018 1 Comment
Recorded video case

The new low-profile Valiant Navion TEVAR endograft

Dr. Lovato (Interventional Radiologist, Bologna, Italy) presents exclusively in Vascupedia and discusses with the experts his first experience with the brand new low-profile thoracic endograft from Medtronic (Valiant Navion) for the treatment of different thoracic aortic pathologies. In the recorded case you will see the case planning, the new characteristics of the device, the comfortable deployment mechanism, and the intra- and postoperative performance of the endograft.

September 20, 2018 No Comments
Technical note

Endovascular treatment of malperfusion syndrome in acute type B dissection

Professor Trimarchi (Vascular Surgeon, Milan, Italy) provides a unique overview of different endovascular treatment options of malperfusion syndrome in patients suffering acute type B dissection.
Which is the definition of malperfusion?
Which are the clinical and laboratory signs of malperfusion?
How to treat the malperfusion?
Finally, Professor Trimarchi describes important technical tips and tricks to have a successful outcome in the devastating complication after aortic type B dissection

September 20, 2018 No Comments
Recorded video case

Total endovascular treatment of the aortic arch after type A dissection with chimney and sandwich technique

This is a very advanced case of a total endovascular repair of a post-type A dissection aneurysm of the aortic arch with chimney endografts for the brachiocephalic trunk and the LCCA and a periscope in Sandwich technique for the LSA. See the procedure in chapters for the different steps under: https://vascupedia.com/video/total-endovascular-treatment-of-the-aortic-arch-after-type-a-dissection-with-chimney-and-sandwich-technique/

June 11, 2018 10 Comments
Case report

Lower limb and visceral malperfusion in acute type B aortic dissection

In this case report, we present the endovascular treatment of a malperfusion syndrome of the left limb as a consequence of an acute type B dissection. Additionally, to the technical details regarding the procedure, we also demonstrate our strategy regarding the assessment of the CT-angiography for the planning of the procedure.

May 8, 2018 1 Comment

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