Utilização de endoprótese expansível (stent) introduzida através da artéria femoral para tratamento da dissecção da aorta descendente

• Autor(a) principal: Fonseca, José Honório de Almeida Palma da [UNIFESP]
• Data de Publicação: 1997
• Outros Autores: Almeida, Dirceu Rodrigues de [UNIFESP], Carvalho, Antonio Carlos [UNIFESP], Geisthovel, Nikolaus [UNIFESP], Gomes, Walter José [UNIFESP], Souza, José Augusto Marcondes de [UNIFESP], Buffolo, Enio [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0102-76381997000400010; http://repositorio.unifesp.br/handle/11600/539
• topic: Stents; Aneurysm; Aortic aneurysm; Femoral artery; Contenedores (stents); Aneurisma dissecante; Aneurisma aórtico; Artéria femoral

We present a case of dissection of the thoracic descending aorta that underwent treatment with an auto-expandable Dacron - covered stent. The stent was deployed through the femoral artery in the hemodynamic laboratory after sedation, local anesthesia in both inguinal areas and systemic heparinization. The catheter with the stent was introduced through a cutdown in the left femoral artery till the area in the thoracic aorta with a previously diagnosed tear in it. The stent was expanded with immediate occlusion of the false lumen: the whole procedure took ninety minutes and the patient was discharged, without complication, 48 hours later. We believe that stent utilization is an important step to contribute to improve treatment results in type B dissection.