Distal false lumen occlusion in aortic dissection with a homemade extra-large vascular plug: the candy-plug technique
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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 journal › SCORING: Journal article › Research › peer-review
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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 -