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Master Thesis

Aortic dissection with acute malperfusion syndrome‎: endovascular fenestration by the funnel technique

Abstract : Objectives: Analyze the short- and long-term results of an original aortic fenestration (AF) method using the funnel technique during aortic dissection (AD) complicated by malperfusion syndrome (MPS). Material and methods: 28 patients with AD (19 type A, 9 type B) were treated using the funnel technique for MPS with dynamic compression (16 cases of renal, 17 bowel, and 14 lower limb ischemia). Eight patients had severe ischemia upon arrival (6 cases of bowel, 7 renal, 3 lower limb ischemia). Results: The procedure was carried out in 27 of 28 patients (96%). Ischemic symptoms disappeared in 25 of 28 patients (89%) at D30, although two patients (7%) died from bowel ischemia complications. Five patients presented postprocedure complications: 4 minor and 1 major (arterial thrombosis) (3.6%). At 4 years of follow-up, no recurrence or complications related to the fenestration were observed, and a stable thoracic aortic diameter was observed in 91% patients followed up (21/23). Conclusion: The funnel technique in cases of MPS during AD was effective at both short and long terms, with fairly low morbidity and mortality. The hemodynamic efficiency of this technique may account for a lower mortality in our series.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01074142
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Submitted on : Monday, October 13, 2014 - 10:20:17 AM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Friday, April 14, 2017 - 1:03:41 PM

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  • HAL Id : dumas-01074142, version 1

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Anne Vendrell. Aortic dissection with acute malperfusion syndrome‎: endovascular fenestration by the funnel technique. Human health and pathology. 2014. ⟨dumas-01074142⟩

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