Early experience with the DJUMBODIS system: What did we observed, what can we expect? Part 2

Thierry Caus^1,2, Audrey Houbert-Janssens³, Jean Yves Gaubert⁴, Alessandro Piccardo¹, Abir Petit³, Henri Poulain¹

1) Department of Cardiac Surgery, Amiens-Picardy University Hospital, Amiens, France
2) INSERM U 1088, Jules Verne University, Amiens, France
3) Department of Pharmacy and Biomedical Devices, Amiens-Picardy University Hospital, Amiens, France
4) Department of Radiology, Timone University Hospital, Marseille, France

The authors describe their experience with the Djumbodis system, reporting the findings of a comparative study focussing on the outcomes of surgical management of patients presenting with real type I aortic dissection. The most common feature observed in patients receiving a 9 or 14 cm stent into the proximal descending aorta was stabilization of the dissected thoracic segments. Clinical outcomes were, however, comparable between the groups of stented patients and controls. This clinical result is to be shared with other endovascular devices used in acute dissections and which might require a hybrid operating room, since they might compromise blood flow in collateral arteries. Carefully analysing our data and current literature we propose to consider real type I aortic dissections complicated by dynamic malperfusion symptoms or for which the diameter of the proximal descending aorta is already noticeably dilated as justified indications according to the current knowledge about stenting of acute dissections.

KEY WORDS: Djumbodis system, type I aortic dissection, descending aorta, stenting.

P. 67-73

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