List Archives

Thu Oct 18 12:21:17 BST 2007

Karim,

Pls excuse very basic question, but if you cover the
subclavian do you need to revascularise the arm or
would you rely on collateral from vertebral?

Miranda

Ken

Of course you need a lot more information than a
single bad reformat
before proceeding.  However if it is as
straight-forward as it looks
(few centimetres distal to the L subclavian), then I
think now
stent-graft is the procedure of choice.  I would plan
to cover the
subclavian.  Probably choose a Medtronic or Gore
device for
conformability although this aorta does not look too
kinked..

Karim

On 17/10/2007, KMATTOX at aol.com <KMATTOX at aol.com>
wrote:
> I had looked at the ppt on my blackberry, now I have
looked at it on
 my big
> computer.    I definitely would NOT proceed with a
stent at this
  point, for I
> could make a case that this is not an aortic 
transection.    This
 particular
> cut leaves a lot to be desired  and raises more
questions than it
 answers.
> Need better cuts or  an aortogram.
>
> BE CAREFUL.
>
> k
>
>
>

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