How do you repair a disection during an angiogram?

Angioplasty

In angioplasty, a thin, flexible tube with a deflated balloon on its tip is inserted into the artery near the dissection. The balloon is then inflated, compressing the dissection against the arterial wall. This helps to seal the dissection and restore blood flow to the artery.

Stenting

Stenting is another procedure that can be used to treat arterial dissections. In this procedure, a small metal stent is inserted into the artery at the site of the dissection. The stent helps to support the arterial wall and keep it from collapsing, which can help to prevent further dissection.

Surgical repair

In some cases, surgical repair may be necessary to treat an arterial dissection. This is usually done if the dissection is large or if it is located in a critical area, such as the brain or heart. Surgical repair involves removing the damaged section of the artery and replacing it with a healthy section of vein or artery.

The type of treatment that is best for an arterial dissection will depend on the individual case.