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/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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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 -