Distal false lumen occlusion in aortic dissection with a homemade extra-large vascular plug: the candy-plug technique

Standard

Distal false lumen occlusion in aortic dissection with a homemade extra-large vascular plug: the candy-plug technique. / Kölbel, Tilo; Lohrenz, Christina; Kieback, Arne; Diener, Holger; Debus, Eike Sebastian; Larena-Avellaneda, Axel.

In: J ENDOVASC THER, Vol. 20, No. 4, 08.2013, p. 484-489.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

Harvard

APA

Vancouver

Bibtex

@article{2807ad7ed4584b72ab4af1b6dd1be2e5,
title = "Distal false lumen occlusion in aortic dissection with a homemade extra-large vascular plug: the candy-plug technique",
abstract = "PURPOSE: To report a technique to create an extra-large vascular plug for occlusion of a large distal false lumen in chronic aortic dissection.TECHNIQUE: 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.CONCLUSION: The candy-plug technique can facilitate complete occlusion of chronic thoracic false lumen aneurysm by prohibiting distal false lumen backflow.",
keywords = "Aneurysm, Dissecting/complications, Aortic Aneurysm, Thoracic/complications, Blood Vessel Prosthesis, Endovascular Procedures/instrumentation, Humans, Male, Middle Aged, Stents",
author = "Tilo K{\"o}lbel and Christina Lohrenz and Arne Kieback and Holger Diener and Debus, {Eike Sebastian} and Axel Larena-Avellaneda",
year = "2013",
month = aug,
doi = "10.1583/13-4318.1",
language = "English",
volume = "20",
pages = "484--489",
journal = "J ENDOVASC THER",
issn = "1526-6028",
publisher = "International Society of Endovascular Specialists",
number = "4",

}

RIS

TY - JOUR

T1 - Distal false lumen occlusion in aortic dissection with a homemade extra-large vascular plug: the candy-plug technique

AU - Kölbel, Tilo

AU - Lohrenz, Christina

AU - Kieback, Arne

AU - Diener, Holger

AU - Debus, Eike Sebastian

AU - Larena-Avellaneda, Axel

PY - 2013/8

Y1 - 2013/8

N2 - PURPOSE: To report a technique to create an extra-large vascular plug for occlusion of a large distal false lumen in chronic aortic dissection.TECHNIQUE: 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.CONCLUSION: The candy-plug technique can facilitate complete occlusion of chronic thoracic false lumen aneurysm by prohibiting distal false lumen backflow.

AB - PURPOSE: To report a technique to create an extra-large vascular plug for occlusion of a large distal false lumen in chronic aortic dissection.TECHNIQUE: 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.CONCLUSION: The candy-plug technique can facilitate complete occlusion of chronic thoracic false lumen aneurysm by prohibiting distal false lumen backflow.

KW - Aneurysm, Dissecting/complications

KW - Aortic Aneurysm, Thoracic/complications

KW - Blood Vessel Prosthesis

KW - Endovascular Procedures/instrumentation

KW - Humans

KW - Male

KW - Middle Aged

KW - Stents

U2 - 10.1583/13-4318.1

DO - 10.1583/13-4318.1

M3 - SCORING: Journal article

C2 - 23914856

VL - 20

SP - 484

EP - 489

JO - J ENDOVASC THER

JF - J ENDOVASC THER

SN - 1526-6028

IS - 4

ER -