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

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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. / Kölbel, Tilo; Tsilimparis, Nikolaos; Mani, Kevin; Rohlffs, Fiona; Wipper, Sabine; Debus, E Sebastian; Kodolitsch, Yskert von; Wanhainen, Anders.

in: J ENDOVASC THER, Jahrgang 25, Nr. 4, 08.2018, S. 456-463.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{5effce5aa6164ef6a8749fddad7903c5,
title = "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",
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.",
keywords = "Adult, Aortic Aneurysm, Thoracic/diagnostic imaging, Blood Vessel Prosthesis, Endovascular Procedures/adverse effects, Female, Humans, Loeys-Dietz Syndrome/diagnostic imaging, Male, Marfan Syndrome/complications, Middle Aged, Postoperative Complications/prevention & control, Prosthesis Design, Risk Factors, Stents, Treatment Outcome, Young Adult",
author = "Tilo K{\"o}lbel and Nikolaos Tsilimparis and Kevin Mani and Fiona Rohlffs and Sabine Wipper and Debus, {E Sebastian} and Kodolitsch, {Yskert von} and Anders Wanhainen",
year = "2018",
month = aug,
doi = "10.1177/1526602818774795",
language = "English",
volume = "25",
pages = "456--463",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "4",

}

RIS

TY - JOUR

T1 - 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

AU - Kölbel, Tilo

AU - Tsilimparis, Nikolaos

AU - Mani, Kevin

AU - Rohlffs, Fiona

AU - Wipper, Sabine

AU - Debus, E Sebastian

AU - Kodolitsch, Yskert von

AU - Wanhainen, Anders

PY - 2018/8

Y1 - 2018/8

N2 - 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.

AB - 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.

KW - Adult

KW - Aortic Aneurysm, Thoracic/diagnostic imaging

KW - Blood Vessel Prosthesis

KW - Endovascular Procedures/adverse effects

KW - Female

KW - Humans

KW - Loeys-Dietz Syndrome/diagnostic imaging

KW - Male

KW - Marfan Syndrome/complications

KW - Middle Aged

KW - Postoperative Complications/prevention & control

KW - Prosthesis Design

KW - Risk Factors

KW - Stents

KW - Treatment Outcome

KW - Young Adult

U2 - 10.1177/1526602818774795

DO - 10.1177/1526602818774795

M3 - SCORING: Journal article

C2 - 29737239

VL - 25

SP - 456

EP - 463

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 4

ER -