Aortic stenting on a type B aortic dissection with visceral and limb ischemia

Aortic dissection complicated with limb and visceral ischemia is a clinical dilemma since surgical intervention carries high risk of morbidity and mor tality. The management is further complicated when renal perfusion is impai red and thus associated with severe renovascular hypertension. As catheteri zation techniques advanced over the past decade, percutaneous endovascular intervention provides a less invasive alternative for management of such ca ses. We report a case of chronic Stanford type B aortic dissection complica ted with visceral and limb ischemia presenting with marked renovascular hyp ertension, which was successfully treated with percutaneous endovascular ao rtic stenting. Cathet Cardiovasc Intervent 2001;52:112-115. (C) 2001 Wiley- Liss, Inc.