Yagi N, Nakagami T, Yamaguchi S, Hamaoka T, Fukai K
Department of Cardiovascular Medicine, University Hospital, Kyoto Prefectural University of Medicine, 465 Kaji-cho, Kamigyo-ku, Kyoto-shi, Kyoto, 602-8566, Japan.
Department of Cardiovascular Medicine, Omihachiman Community Medical Center, 1379 Tsuchidacho, Omihachiman, Shiga, 523-0082, Japan.
Radiol Case Rep. 2020 Jul 3;15(9):1437-1441. doi: 10.1016/j.radcr.2020.06.015. eCollection 2020 Sep.
Malperfusion syndrome is considered one of the most significant adverse events in aortic dissection disease and often requires invasive strategies to improve ischemia. We report the case of a patient who was presented with worsening claudication and leg rest pain due to malperfusion syndrome of type B aortic dissection. We successfully performed endovascular fenestration therapy to relieve the symptom by using a NRG radiofrequency transseptal needle (Baylis Medical, Montreal, Canada). We suggest that this novel method would be available for the patients with malperfusion syndrome of aortic dissection.
灌注不良综合征被认为是主动脉夹层疾病中最严重的不良事件之一，通常需要采取侵入性策略来改善缺血状况。我们报告了一例因B型主动脉夹层灌注不良综合征而出现间歇性跛行加重和静息腿痛的患者。我们使用NRG射频经间隔穿刺针（加拿大蒙特利尔市Baylis Medical公司生产）成功实施了血管腔内开窗治疗以缓解症状。我们认为这种新方法可应用于主动脉夹层灌注不良综合征患者。
