Techniques and outcomes of false lumen embolization in chronic type B aortic dissection
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Techniques and outcomes of false lumen embolization in chronic type B aortic dissection. / Rohlffs, Fiona; Spanos, Konstantinos; Tsilimparis, Nikolaos; Debus, Eike S; Kölbel, Tilo.
In: J CARDIOVASC SURG, Vol. 59, No. 6, 12.2018, p. 784-788.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Techniques and outcomes of false lumen embolization in chronic type B aortic dissection
AU - Rohlffs, Fiona
AU - Spanos, Konstantinos
AU - Tsilimparis, Nikolaos
AU - Debus, Eike S
AU - Kölbel, Tilo
PY - 2018/12
Y1 - 2018/12
N2 - Endovascular strategies have been increasingly used for the treatment of chronic type B aortic dissection (cTBAD) offering better outcomes in terms of mortality and morbidity compared to open surgical repair. Aortic remodeling after standard TEVAR is less likely in cTBAD due to rigidity of the dissection membrane. Another limitation of endovascular therapy is continued retrograde false lumen perfusion with back-flow from distal entry tears. Treatment strategies in cTBAD should aim at false lumen thrombosis. There are many approaches to achieve this goal of false lumen thrombosis, but concepts as open surgery or fenestrated and branched endovascular repair are limited by either high technical and logistic demands to the surgeon or high rates of mortality and morbidity. False lumen embolization techniques offer less invasive treatment strategies with promising early results. The main strategies for false lumen embolization include the "cork in the bottle neck" technique, the Candy-Plug technique or the Knickerbocker-technique. This article describes technical aspects and early results of these new endovascular techniques of false lumen embolization in chronic aortic dissection.
AB - Endovascular strategies have been increasingly used for the treatment of chronic type B aortic dissection (cTBAD) offering better outcomes in terms of mortality and morbidity compared to open surgical repair. Aortic remodeling after standard TEVAR is less likely in cTBAD due to rigidity of the dissection membrane. Another limitation of endovascular therapy is continued retrograde false lumen perfusion with back-flow from distal entry tears. Treatment strategies in cTBAD should aim at false lumen thrombosis. There are many approaches to achieve this goal of false lumen thrombosis, but concepts as open surgery or fenestrated and branched endovascular repair are limited by either high technical and logistic demands to the surgeon or high rates of mortality and morbidity. False lumen embolization techniques offer less invasive treatment strategies with promising early results. The main strategies for false lumen embolization include the "cork in the bottle neck" technique, the Candy-Plug technique or the Knickerbocker-technique. This article describes technical aspects and early results of these new endovascular techniques of false lumen embolization in chronic aortic dissection.
KW - Aneurysm, Dissecting/diagnostic imaging
KW - Aortic Aneurysm, Thoracic/diagnostic imaging
KW - Aortography/methods
KW - Chronic Disease
KW - Computed Tomography Angiography
KW - Embolization, Therapeutic/adverse effects
KW - Endovascular Procedures/adverse effects
KW - Humans
KW - Risk Factors
KW - Treatment Outcome
U2 - 10.23736/S0021-9509.18.10638-0
DO - 10.23736/S0021-9509.18.10638-0
M3 - SCORING: Review article
C2 - 29943961
VL - 59
SP - 784
EP - 788
JO - J CARDIOVASC SURG
JF - J CARDIOVASC SURG
SN - 0021-9509
IS - 6
ER -
