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Wang L, Liu F, Guo D, et al. Radical treatment of primary type B aortic dissection or after thoracic endovascular aortic repair to manage disseminated intravascular coagulation. J Thorac Dis. 2018;10(6):3808-3813doi: 10.21037/jtd.2018.06.93.
Wang, L., Liu, F., Guo, D., Xu, D., Zhou, X., Hou, K., Zhang, W., Shi, Z., Tang, X., & Fu, W. (2018). Radical treatment of primary type B aortic dissection or after thoracic endovascular aortic repair to manage disseminated intravascular coagulation. Journal of thoracic disease, 10(6), 3808-3813. https://doi.org/10.21037/jtd.2018.06.93
Wang, Lixin, et al. "Radical treatment of primary type B aortic dissection or after thoracic endovascular aortic repair to manage disseminated intravascular coagulation." Journal of thoracic disease vol. 10,6 (2018): 3808-3813. doi: https://doi.org/10.21037/jtd.2018.06.93
Wang L, Liu F, Guo D, Xu D, Zhou X, Hou K, Zhang W, Shi Z, Tang X, Fu W. Radical treatment of primary type B aortic dissection or after thoracic endovascular aortic repair to manage disseminated intravascular coagulation. J Thorac Dis. 2018 Jun;10(6):3808-3813. doi: 10.21037/jtd.2018.06.93. PMID: 30069381; PMCID: PMC6051806.
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J Thorac Dis. 2018 Jun;10(6):3808-3813. doi: 10.21037/jtd.2018.06.93.

Radical treatment of primary type B aortic dissection or after thoracic endovascular aortic repair to manage disseminated intravascular coagulation.

Journal of thoracic disease

Lixin Wang, Fei Liu, Daqiao Guo, Demin Xu, Xiushi Zhou, Kai Hou, Wei Zhang, Zhenyu Shi, Xiao Tang, Weiguo Fu

Affiliations

  1. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
  2. Institute of Vascular Surgery, Fudan University, Shanghai 200032, China.
  3. Department of Vascular Surgery in Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 361015, China.
  4. Department of Cardiac Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
  5. Department of Cardiac Surgery in Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen 361015, China.
  6. Department of Radiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
  7. Institute of Radiology, Shanghai Municipal, Shanghai 200032, China.

PMID: 30069381 PMCID: PMC6051806 DOI: 10.21037/jtd.2018.06.93

Abstract

Disseminated intravascular coagulation (DIC) secondary to type B aortic dissection is an unusual and fatal complication that has not been fully investigated. The aim of our study is to report a novel endovascular technique excluding all tears to manage DIC. From April 2017 to October 2017, we performed 2 cases of DIC complicated to type B aortic dissection using this novel radical endovascular repair technique. Clinical data of patients were collected and technical details were presented. These two cases were successfully treated with novel radical endovascular repair technique. DIC was managed and FL thrombosis was formed in these two patients. Follow-up at 6 months revealed no recurrent DIC and a stable aortic diameter with complete FL thrombosis. This endovascular repair technique that excluding all the tears is a feasible approach to prevents continuous coagulation components consumption and thus to manage DIC effectively.

Keywords: Disseminated intravascular coagulation (DIC); aortic dissection; false lumen thrombosis (FLT); thoracic endovascular aortic repair

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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