The first experience of endovascular implantation of bare metal stent Djumbodis® for treatment of aortic dissection

• M.A. Soborov
• Parkhomenko M.V.
• V.A. Penkovtsev
• V.V. Sukhorukov
• Erofeev A.A.
• Andreychuk K.A.
• L.A. Vedernikova

Abstract

The authors present the first experience of endovascular implantation of bare metal stent Djumbodis® for treatment the distal aortic dissection. 6 patients aged from 31 to 72 years, the 2 men, 4 women were operated on. Three patients showed signs of congenitally degenerative lesions of connective tissue, including Marfan syndrome in 1 patient. Stenting was performed in the acute phase of the aortic dissection at 3 patients, in the subacute phase at one patient and in chronic phase in 2 patients. 1 stent 9 cm long was implanted in 1 single patient, 1 stent 14 cm was implanted each from four patient, 1 stent length of 9 cm and a 2 stents length of 14 cm implanted in another single patient.

There were no deaths during procedure and in early postoperative period. Clinical improvement was observed in all patients. 2 patients subsequently needed additional interventions due to the lack of radicalism primary procedure. 1 patient was performed stent-graft implantation into aortic arch with debranching and switching of the left subclavian artery, another patient underwent the replacement of distal portion of the aortic arch. Endovascular stenting technique for distal aortic dissection can be used as an independent method of treatment, or to stabilize the patient's condition in order to conduct it with additional interventions to achieve a complete reconstruction of the aorta.

Keywords:distal aortic dissection, endovascular procedure, bare metal stent

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