An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis

Giant-cell arteritis is associated with a higher risk of aortic aneurysm and aortic dissection formation. We present a women with aortic dissection type B treated with a stent graft and bare-metal stent implantation. After the stent deployment we noticed aortic rupture, which was successfully treate...

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Main Authors: Pawel Rynio, Arkadiusz Kazimierczak, Piotr Gutowski, Miloslaw Cnotliwy
Format: Article
Language:English
Published: Termedia Publishing House 2017-05-01
Series:Videosurgery and Other Miniinvasive Techniques
Subjects:
Online Access:https://www.termedia.pl/An-unusual-case-of-aortic-rupture-after-deployment-of-a-bare-stent-in-the-treatment-of-aortic-dissection-in-a-patient-with-giant-cell-arteritis,42,29912,1,1.html
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spelling doaj-a3081c564b33401b8176472c8a1447d82020-11-25T01:33:47ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542017-05-0112219419810.5114/wiitm.2017.6767729912An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritisPawel RynioArkadiusz KazimierczakPiotr GutowskiMiloslaw CnotliwyGiant-cell arteritis is associated with a higher risk of aortic aneurysm and aortic dissection formation. We present a women with aortic dissection type B treated with a stent graft and bare-metal stent implantation. After the stent deployment we noticed aortic rupture, which was successfully treated with implantation of an additional stent graft. This report highlights the difficulty of endovascular therapy in patients with giant-cell arteritis. We have to bear in mind that chronic inflammation of the aorta leads to a more fragile aortic wall than normal. We recommend the use of a stent graft over a bare-metal stent and gentle use of a balloon catheter.https://www.termedia.pl/An-unusual-case-of-aortic-rupture-after-deployment-of-a-bare-stent-in-the-treatment-of-aortic-dissection-in-a-patient-with-giant-cell-arteritis,42,29912,1,1.html<i>stent graft endovascular treatment aortic dissection giant-cell arteritis aortic rupture petticoat</i>
collection DOAJ
language English
format Article
sources DOAJ
author Pawel Rynio
Arkadiusz Kazimierczak
Piotr Gutowski
Miloslaw Cnotliwy
spellingShingle Pawel Rynio
Arkadiusz Kazimierczak
Piotr Gutowski
Miloslaw Cnotliwy
An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis
Videosurgery and Other Miniinvasive Techniques
<i>stent graft
endovascular treatment
aortic dissection
giant-cell arteritis
aortic rupture
petticoat</i>
author_facet Pawel Rynio
Arkadiusz Kazimierczak
Piotr Gutowski
Miloslaw Cnotliwy
author_sort Pawel Rynio
title An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis
title_short An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis
title_full An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis
title_fullStr An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis
title_full_unstemmed An unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis
title_sort unusual case of aortic rupture after deployment of a bare stent in the treatment of aortic dissection in a patient with giant-cell arteritis
publisher Termedia Publishing House
series Videosurgery and Other Miniinvasive Techniques
issn 1895-4588
2299-0054
publishDate 2017-05-01
description Giant-cell arteritis is associated with a higher risk of aortic aneurysm and aortic dissection formation. We present a women with aortic dissection type B treated with a stent graft and bare-metal stent implantation. After the stent deployment we noticed aortic rupture, which was successfully treated with implantation of an additional stent graft. This report highlights the difficulty of endovascular therapy in patients with giant-cell arteritis. We have to bear in mind that chronic inflammation of the aorta leads to a more fragile aortic wall than normal. We recommend the use of a stent graft over a bare-metal stent and gentle use of a balloon catheter.
topic <i>stent graft
endovascular treatment
aortic dissection
giant-cell arteritis
aortic rupture
petticoat</i>
url https://www.termedia.pl/An-unusual-case-of-aortic-rupture-after-deployment-of-a-bare-stent-in-the-treatment-of-aortic-dissection-in-a-patient-with-giant-cell-arteritis,42,29912,1,1.html
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