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Distal false lumen occlusion in aortic dissection with a homemade extra-large vascular plug: the candy-plug technique
- Source :
- Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists. 20(4)
- Publication Year :
- 2013
-
Abstract
- To report a technique to create an extra-large vascular plug for occlusion of a large distal false lumen in chronic aortic dissection.The "candy-plug" technique is demonstrated in a 58-year-old multimorbid man with a history of complicated acute type B aortic dissection and a 9-cm chronic thoracic false lumen aneurysm. The patient underwent a staged repair with a cervical debranching procedure as a first step and a thoracic endovascular aortic repair from the innominate artery to the celiac artery as a second step. To occlude the large false lumen from a distal route, a stent-graft was modified on-table with a diameter-restricting suture, giving it a wrapped candy-like shape. This plug was deployed into the false lumen, and the remaining opening was occluded with a standard vascular plug. On 3-month follow-up imaging, the thoracic false lumen aneurysm remained completely thrombosed.The candy-plug technique can facilitate complete occlusion of chronic thoracic false lumen aneurysm by prohibiting distal false lumen backflow.
- Subjects :
- Male
medicine.medical_specialty
Thoracic aortic aneurysm
law.invention
Aortic aneurysm
Aneurysm
Blood vessel prosthesis
law
medicine.artery
Occlusion
Medicine
Thoracic aorta
Humans
Radiology, Nuclear Medicine and imaging
Spark plug
Aortic dissection
Aortic Aneurysm, Thoracic
business.industry
Endovascular Procedures
nutritional and metabolic diseases
Middle Aged
medicine.disease
Blood Vessel Prosthesis
Aortic Dissection
Surgery
Stents
Radiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15451550
- Volume :
- 20
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
- Accession number :
- edsair.doi.dedup.....ab230a2bb16df8ce302d8d32d0d95746