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  • Title: Stenting for acute aortic dissection with malperfusion as "bridge therapy".
    Author: Fujita W, Taniguchi S, Daitoku K, Fukuda I.
    Journal: Tex Heart Inst J; 2010; 37(6):691-4. PubMed ID: 21224949.
    Abstract:
    The most common treatment of acute type A aortic dissection is immediate surgical repair. However, early surgery for acute dissections with peripheral vascular compromise carries a high mortality rate. Herein, we report a case in which we placed percutaneous endovascular stents in a type A dissection patient before proceeding with proximal aortic repair. Bare-metal stents were placed into the obliterated true channel of the abdominal aorta and the left external iliac artery. Endovascular stenting immediately relieved the lower-left-extremity ischemic symptoms, and the patient underwent hemi-arch replacement 7 days after the procedure. Stent placement for patients who have acute aortic dissection with malperfusion can be used as "bridge therapy."
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