CC BY 4.0 · Aorta (Stamford) 2022; 10(02): 85-88
DOI: 10.1055/s-0042-1743201
Case Report

Geometric Analysis of Complex Endovascular Treatment of a Successfully Completed Residual Post-Type A Aortic Dissection

Alice Finotello 
1   Department of Surgical and Integrated Diagnostic Sciences, University of Genoa, Genoa, Italy
,
Bianca Pane
2   Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
,
Mauro Di Bartolo
2   Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
,
Rachele Del Pizzo
2   Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
,
Simone Mambrini
2   Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
,
Giovanni Pratesi
2   Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
,
Giovanni Spinella 
2   Vascular and Endovascular Surgery Unit, Ospedale Policlinico San Martino, University of Genoa, Genoa, Italy
› Author Affiliations Funding This work was partially supported by “Programma Operativo Por FSE Regione Liguria 2014-2020” through the project no. RLOF18ASSRIC/38/1.
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Abstract

We describe a case of complex multistep endovascular treatment of a post-Type A thoracoabdominal dissected aneurysm. Volume analysis documents true and false lumen improvements during follow-up. Centerline tortuosity of the aorta and of the iliac arteries straightens after endovascular treatment completion. In addition, analysis of stent-graft remodeling reveals the stent-graft tendency to spring back to its original status together with a caudal migration of the fenestrated body.

Keywords

residual Type A dissection - TEVAR - geometric analysis


Publication History

Received: 20 April 2021

Accepted: 09 September 2021

Article published online:
07 August 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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