False Lumen Occlusion in Chronic Aortic Dissection: The New Generation Candy-Plug II
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False Lumen Occlusion in Chronic Aortic Dissection: The New Generation Candy-Plug II. / Rohlffs, Fiona; Tsilimparis, Nikolaos; Mogensen, John; Makaloski, Vladimir; Debus, Sebastian; Kölbel, Tilo.
In: ANN VASC SURG, Vol. 57, 05.2019, p. 261-265.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - False Lumen Occlusion in Chronic Aortic Dissection: The New Generation Candy-Plug II
AU - Rohlffs, Fiona
AU - Tsilimparis, Nikolaos
AU - Mogensen, John
AU - Makaloski, Vladimir
AU - Debus, Sebastian
AU - Kölbel, Tilo
N1 - Copyright © 2019 Elsevier Inc. All rights reserved.
PY - 2019/5
Y1 - 2019/5
N2 - BACKGROUND: To introduce the new generation Candy-Plug II with a self-closing channel construction inside the plug.METHODS: The technique of the Candy-Plug II was demonstrated in a 50-year-old patient with residual chronic aortic dissection and thoracic false lumen aneurysm with false lumen backflow after open surgical repair of the ascending aorta for acute type A aortic dissection. The Candy-Plug Technique was applied in addition to a branched arch procedure using a new generation Candy-Plug II for false lumen occlusion. The Candy-Plug II is a short tubular stent graft with a small open channel inside the graft to accommodate the central cannula and allow retrieval of the dilator tip, which closes itself as soon as the dilator tip is removed. The channel inside the graft is unsupported and will collapse and thereby close. This new design obviates additional placement of a plug to occlude the midsection of the first-generation Candy-Plug. After deployment of the Candy-Plug, distal false lumen occlusion was confirmed on final angiogram and postoperative computed tomography scans without any leakage through the Candy-Plug.CONCLUSIONS: The new generation Candy-Plug II is a useful refinement of the previously available model. It reduces the procedural steps and provides a longer sealing segment.
AB - BACKGROUND: To introduce the new generation Candy-Plug II with a self-closing channel construction inside the plug.METHODS: The technique of the Candy-Plug II was demonstrated in a 50-year-old patient with residual chronic aortic dissection and thoracic false lumen aneurysm with false lumen backflow after open surgical repair of the ascending aorta for acute type A aortic dissection. The Candy-Plug Technique was applied in addition to a branched arch procedure using a new generation Candy-Plug II for false lumen occlusion. The Candy-Plug II is a short tubular stent graft with a small open channel inside the graft to accommodate the central cannula and allow retrieval of the dilator tip, which closes itself as soon as the dilator tip is removed. The channel inside the graft is unsupported and will collapse and thereby close. This new design obviates additional placement of a plug to occlude the midsection of the first-generation Candy-Plug. After deployment of the Candy-Plug, distal false lumen occlusion was confirmed on final angiogram and postoperative computed tomography scans without any leakage through the Candy-Plug.CONCLUSIONS: The new generation Candy-Plug II is a useful refinement of the previously available model. It reduces the procedural steps and provides a longer sealing segment.
KW - Aneurysm, Dissecting/diagnostic imaging
KW - Aortic Aneurysm, Thoracic/diagnostic imaging
KW - Aortography/methods
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/instrumentation
KW - Chronic Disease
KW - Computed Tomography Angiography
KW - Endovascular Procedures/instrumentation
KW - Humans
KW - Male
KW - Middle Aged
KW - Prosthesis Design
KW - Stents
KW - Treatment Outcome
U2 - 10.1016/j.avsg.2018.10.016
DO - 10.1016/j.avsg.2018.10.016
M3 - SCORING: Journal article
C2 - 30690161
VL - 57
SP - 261
EP - 265
JO - ANN VASC SURG
JF - ANN VASC SURG
SN - 0890-5096
ER -
