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The patient presented with a hypertensive emergency and left lower extremity ischemia, and imaging revealed complete collapse of the previously placed stent graft with extension into the iliac limbs. He underwent emergent endovascular intervention. When the false lumen was entered by puncturing the dissection plane with a sheath, immediate reexpansion of the stent graft was observed. The entry point of the dissection was covered with 2 overlapping stents, restoring flow within the true lumen. Although aortic stent collapse from acute type B aortic dissections is extremely rare, we demonstrate that endovascular release of the outflow obstruction and depressurizing the false lumen can resolve this dreaded complication.<\/jats:p>","DOI":"10.1177\/1538574419840873","type":"journal-article","created":{"date-parts":[[2019,4,2]],"date-time":"2019-04-02T01:09:43Z","timestamp":1554167383000},"page":"420-423","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Rare Case of Acute Type B Dissection Causing Complete Collapse of EVAR Stent"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4030-8195","authenticated-orcid":false,"given":"Alexander","family":"Ostapenko","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Danbury Hospital, Danbury, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele N.","family":"Richard","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Danbury Hospital, Danbury, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan M.","family":"Dietzek","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Danbury Hospital, Danbury, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,1]]},"reference":[{"key":"bibr1-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1208377"},{"key":"bibr2-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03450190069031"},{"issue":"1","key":"bibr3-1538574419840873","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1093\/bjaceaccp\/mkn044","volume":"9","author":"Hebballi R","year":"2009","journal-title":"Continuing Education in Anaesthesia, Critical Care & Pain"},{"key":"bibr4-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042002"},{"issue":"2","key":"bibr5-1538574419840873","doi-asserted-by":"crossref","first-page":"117","DOI":"10.12945\/j.aorta.2013.12-009","volume":"1","author":"Di Marco L","year":"2013","journal-title":"AORTA"},{"key":"bibr6-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.11.045"},{"key":"bibr7-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.09.047"},{"key":"bibr8-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.01.066"},{"issue":"40","key":"bibr9-1538574419840873","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1016\/j.jvs.2007.03.059","volume":"46","author":"Rodd CD","year":"2007","journal-title":"J Vasc Surg"},{"issue":"3","key":"bibr10-1538574419840873","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/j.jvs.2010.06.058","volume":"52","author":"Loh SA","year":"2010","journal-title":"J Vasc Surg"},{"issue":"5","key":"bibr11-1538574419840873","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1016\/j.jvs.2008.11.067","volume":"49","author":"Matsagas MI","year":"2009","journal-title":"J Vasc Surg"},{"key":"bibr12-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.03.060"},{"key":"bibr13-1538574419840873","doi-asserted-by":"crossref","first-page":"206.e1","DOI":"10.1016\/j.avsg.2017.07.024","volume":"46","author":"Itoga NK","year":"2018","journal-title":"Ann Vasc Surg"},{"key":"bibr14-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2014.06.067"},{"key":"bibr15-1538574419840873","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00931-5"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574419840873","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1538574419840873","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574419840873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:29:42Z","timestamp":1777703382000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1538574419840873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,1]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1177\/1538574419840873"],"URL":"https:\/\/doi.org\/10.1177\/1538574419840873","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,1]]}}}