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Is Bare-Metal Stenting a Worthwhile Adjunctive Technique in Acute Type A Dissection?

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Book cover Controversies in Aortic Dissection and Aneurysmal Disease

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Abstract

Bare-metal stents have been developed and employed as an adjunctive technique in patients operated on for acute type A aortic dissection mainly to facilitate thrombosis of the false lumen, but also to seal endoleaks and create stent-graft landing zones. However, in the first case, results have not been as satisfactory as expected and bare metal stenting for that purpose seems to add no more advantage than surgery alone. Refinement of stent design is needed and indication of stent deployment better defined. In the second case, results have been more encouraging, but case series are too small and follow-up too short.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Carl-Neubert Strasse 1, Hannover, 30625, Germany

    Fabio Ius MD

  2. Cardio-Thoracic Department, University Hospital Sharia Della Misericordia, Piazzale Sharia Delle Misericordia #15, Udine, 33100, Italy

    Ugolino Livi MD FECTS

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  1. Fabio Ius MD
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  2. Ugolino Livi MD FECTS
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Correspondence to Ugolino Livi MD FECTS .

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Editors and Affiliations

  1. University Hospitals Birmingham, Queen Elizabeth Hospital, Birmingham, United Kingdom

    Robert S. Bonser

  2. University Hospitals Birmingham, Queen Elizabeth Hospital, Birmingham, United Kingdom

    Domenico Pagano

  3. Thoracic and Cardiovascular Surgery Depts., Hannover Medical School, Hannover, Germany

    Axel Haverich

  4. University Hospitals Birmingham, Queen Elizabeth Hospital & Centre, Birmingham, United Kingdom

    Jorge Mascaro

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Ius, F., Livi, U. (2014). Is Bare-Metal Stenting a Worthwhile Adjunctive Technique in Acute Type A Dissection?. In: Bonser, R., Pagano, D., Haverich, A., Mascaro, J. (eds) Controversies in Aortic Dissection and Aneurysmal Disease. Springer, London. https://doi.org/10.1007/978-1-4471-5622-2_27

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  • DOI: https://doi.org/10.1007/978-1-4471-5622-2_27

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