Aortic Remodeling After Total Endovascular Aortic Repair With Multilayer Stents: Computational Fluid Dynamics Analysis of Aortic Remodeling Over 3 Years of Follow-up
| Autor: | Kak K. Yeung, Crina Solomon, Adrian Santa, Cristian Bucurenciu, Gabriela Candea, Andreea Costache, Victor S Costache, Tatiana Melnic, Mihai Sandu, R. F. Popa |
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| Přispěvatelé: | Surgery |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Infrarenal aorta Vascular Remodeling 030204 cardiovascular system & hematology Prosthesis Design Aortic repair Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Aneurysm Internal medicine medicine Humans Computer Simulation Radiology Nuclear Medicine and imaging 030212 general & internal medicine Aortic dissection Type B aortic dissection business.industry Sinotubular Junction Endovascular Procedures Models Cardiovascular Middle Aged medicine.disease Aortic Aneurysm Blood Vessel Prosthesis Aortic Dissection Treatment Outcome Hydrodynamics Cardiology cardiovascular system Stents Surgery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of endovascular therapy, 25(6), 760-764. International Society of Endovascular Specialists Costache, V S, Yeung, K K, Solomon, C, Popa, R, Melnic, T, Sandu, M, Bucurenciu, C, Candea, G, Santa, A & Costache, A 2018, ' Aortic Remodeling After Total Endovascular Aortic Repair With Multilayer Stents : Computational Fluid Dynamics Analysis of Aortic Remodeling Over 3 Years of Follow-up ', Journal of Endovascular Therapy, vol. 25, no. 6, pp. 760-764 . https://doi.org/10.1177/1526602818808049 Journal of Endovascular Therapy, 25(6), 760-764. International Society of Endovascular Specialists |
| ISSN: | 1526-6028 |
| Popis: | Purpose: To report Multilayer Flow Modulator (MFM) implantation from the sinotubular junction to the distal infrarenal aorta in the treatment of type B aortic dissection (TBAD) and demonstrate aortic remodeling using computational fluid dynamics (CFD) analysis over the course of 3-year follow-up. Case Report: A hypertensive patient with complicated TBAD required thoracic endovascular aortic repair due to severe thoracic pain associated with rapid progression of the false lumen aneurysm toward the distal aortic arch. Under general anesthesia, 2 aortic multilayer stents were placed over a 0.035-inch stiff guidewire in the compressed true lumen. The aorta was covered with 2 MFM stents between the sinotubular junction and the distal infrarenal aorta. Serial computed tomography scans showed progressive remodeling of the entire dissected aortic wall, with an excellent result at 24 months. Morphological and CFD vascular analysis confirmed the aortic remodeling, with a false lumen index drop from a preoperative 4.04 to 0.01 at 36 months. Conclusion: Endovascular aortic repair with multilayer stents is a promising treatment for complicated TBAD due to the unique ability of these devices to stabilize the entire aortic wall without compromising the flow in the major aortic side branches. |
| Databáze: | OpenAIRE |
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