Endovascular therapy options for distal malperfusion syndrome in aortic dissection

Rohit Philip Thomas; Tobias Kowald; Osama Eldergash; Sandeep Sunder Amin; Jerry Easo

Volume : VIII, Issue : IV, April - 2019

Endovascular therapy options for distal malperfusion syndrome in aortic dissection

Rohit Philip Thomas, Tobias Kowald, Osama Eldergash, Sandeep Sunder Amin, Jerry Easo

Abstract :

Malperfusion syndrome is one of the common associations with aortic dissection. The morbidity and mortality in aortic dissection are very much related to the presence of ischemic complications at clinical presentation. Visceral and extremity ischemia are the most important complications and are associated with high in–hospital mortality. The identification of malperfusion syndrome and its mechanism is very important in the management of these cases. It is also important to understand the undergoing pathology and presentation of malperfusion syndrome in dissection as treatment options also vary accordingly. In the era of mini–invasive therapy these pathologies are increasingly being treated endovascularly. The aim of this paper is to describe the possible endovascular treatment options based on the pathology of malperfusion syndrome. With the help of the following typical cases the various available endovascular treatment options to deal with distal malperfusion syndrome in aortic dissection are illustrated