KMID : 0882420160900050433
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Korean Journal of Medicine 2016 Volume.90 No. 5 p.433 ~ p.439
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Type B Aortic Dissection with Malperfusion of Both Common Iliac Arteries That Underwent Stent Placement Using the Left Brachial Approach
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¹Ú¿µÁÖ:Park Young-Joo
ÀÌÁ¤Àº:Lee Jeong-Eun/°Áø¼÷:Kang Jin-Suk/ÀåÈñ·É:Jang Hee-Ryeong/±è¹ÎÁö:Kim Min-Ji/±è»óÇÊ:Kim Sang-Pil/ÀÌÇÑö:Lee Han-Cheol
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Abstract
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Malperfusion syndrome is a complication of acute descending aortic dissection (DAD) and it is associated with a poor clinical outcome. Surgical treatment for it has a high rate of mortality. Thoracic endovascular aortic repair (TEVAR) for DAD with malperfusion syndrome has resulted in good clinical outcomes. However, when both common iliac arteries are compromised by a false lumen, it is impossible to conduct TEVAR because there is no accessible artery. We successfully treated a case of DAD with malperfusion syndrome in which both common iliac arteries were compromised by placing stents in both arteries using the left brachial approach.
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KEYWORD
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Aorta, Aortic dissection, Stents, Endovascualar procedures
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