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(Radiology. 2001;220:533-539.)
© RSNA, 2001


Technical Developments

Aortic Dissection: Percutaneous Management with a Separating Stent-Graft—Preliminary Results1

Sung-Gwon Kang, MD, Do Yun Lee, MD, Munehiro Maeda, MD, Eun Sang Kim, BS, Donghoon Choi, MD, Byung-Ok Kim, MD, Hyun Ki Yoon, MD, Kyu Bo Sung, MD and Ho-Young Song, MD

1 From the Department of Diagnostic Radiology Chosun University College of Medicine, Kwangju, Korea (S.G.K.); Department of Diagnostic Radiology (D.Y.L.), Cardiology Division (D.C.), Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-ku, Seoul 120-752, Korea; Department of Diagnostic Radiology, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea (E.S.K., H.K.Y., K.B.S., H.Y.S.); Department of Radiology, Osaka University Graduate School of Medicine, Japan (M.M.); and Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea (B.O.K.). Received September 11, 2000; revision requested November 1; revision received February 2, 2001; accepted February 26. Address correspondence to D.Y.L. (e-mail: dyl@yumc.yonsei.ac.kr).

The authors used a separating stent-graft to treat Stanford type B aortic dissection. The separating stent-graft consists of two stents: a stent-graft and an inner bare stent. The separating stent-graft has three parts: a proximal stent, a graft made of synthetic polyester textile fiber, and a distal stent. A 12-F introducing sheath was used. After the separating stent-graft was placed, false-lumen thrombosis was evident in all six patients during a follow-up period of 206 days. The major advantages of this technique are that a cutdown and blood pressure control are not required.

Index terms: Aorta, dissection, 94.743, 981.743 • Aorta, grafts and prostheses, 94.1286, 981.1286 • Aorta, interventional procedure, 94.1286, 981.1286




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