1. Physician-Modified Thoracic Stent-Graft With Low Distal Radial Force to Prevent Distal Stent-Graft-Induced New Entry Tears in Patients With Genetic Aortic Syndromes and Aortic Dissection
- Author
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E. Sebastian Debus, Tilo Kölbel, Yskert von Kodolitsch, Sabine Wipper, Kevin Mani, Anders Wanhainen, Nikolaos Tsilimparis, and Fiona Rohlffs
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,Prosthesis Design ,Marfan Syndrome ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Postoperative Complications ,Risk Factors ,medicine.artery ,Medicine ,Thoracic aorta ,Humans ,Radiology, Nuclear Medicine and imaging ,In patient ,cardiovascular diseases ,030212 general & internal medicine ,Radial Force Variation ,Aortic dissection ,Aorta ,Loeys-Dietz Syndrome ,Aortic Aneurysm, Thoracic ,business.industry ,Endovascular Procedures ,Stent ,Middle Aged ,equipment and supplies ,medicine.disease ,Connective tissue disease ,Surgery ,Blood Vessel Prosthesis ,surgical procedures, operative ,Treatment Outcome ,cardiovascular system ,Tears ,Female ,Stents ,Cardiology and Cardiovascular Medicine ,business - Abstract
Purpose: To describe a novel modification technique to lower the distal radial force of a thoracic stent-graft so as to avert stent-graft–induced new entry tears (SINE) in the fragile aorta of patients with genetic aortic disease and aortic dissection. Technique: A commercially available thoracic stent-graft is partially deployed on a back table. The most distal Z-stent is removed, the distal fabric is marked by vascular clips, and the modified stent-graft is reloaded and deployed in the true lumen of an aortic dissection. The technique is demonstrated in 3 patients with aortic dissection related to genetic aortic diseases. Conclusion: Creating a low distal radial force stent-graft is easy and can be done in a short time. Endovascular implantation appears feasible and safe.
- Published
- 2018