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A modified candy-plug technique to occlude false lumen in aortic dissection
PURPOSE: Aim of this technical note article is to introduce a modified, novel way to custom create a candy-plug (CP) device to endovascularly occlude false lumen. The technique is illustrated by a patient case with significant backflow to false lumen (FL). The patient had already undergone surgical...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617994/ https://www.ncbi.nlm.nih.gov/pubmed/36308646 http://dx.doi.org/10.1186/s42155-022-00331-0 |
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author | Palm, Erik Valtola, Antti Manninen, Hannu Saari, Petri |
author_facet | Palm, Erik Valtola, Antti Manninen, Hannu Saari, Petri |
author_sort | Palm, Erik |
collection | PubMed |
description | PURPOSE: Aim of this technical note article is to introduce a modified, novel way to custom create a candy-plug (CP) device to endovascularly occlude false lumen. The technique is illustrated by a patient case with significant backflow to false lumen (FL). The patient had already undergone surgical repair of the ascending aorta, aortic arch and subsequent TEVAR procedure down to the ostium of the celiac trunk because of type A aortic dissection, but the descending thoracic aorta continued to dilate due to backflow to the FL from an uncovered tear at the level of the renal arteries. MATERIALS AND METHODS: We modified a Gore Excluder 36–45 mm aortic extender (W. L. Gore & Associates, Inc. Flagstaff, USA) endoprosthesis into a CP device that was subsequently positioned under local anesthesia into the FL of the distal descending thoracic aorta. RESULTS: In 1 month control the backflow to false lumen had ceased and the aorta had decreased in diameter from 69 to 66 mm, FL from 37 to 34 mm, true lumen (TL) remained the same 32 mm. CONCLUSION: We describe a modified, effective candy-plug technique to occlude retrograde false lumen filling in aortic dissection. |
format | Online Article Text |
id | pubmed-9617994 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-96179942022-10-31 A modified candy-plug technique to occlude false lumen in aortic dissection Palm, Erik Valtola, Antti Manninen, Hannu Saari, Petri CVIR Endovasc New Technologies PURPOSE: Aim of this technical note article is to introduce a modified, novel way to custom create a candy-plug (CP) device to endovascularly occlude false lumen. The technique is illustrated by a patient case with significant backflow to false lumen (FL). The patient had already undergone surgical repair of the ascending aorta, aortic arch and subsequent TEVAR procedure down to the ostium of the celiac trunk because of type A aortic dissection, but the descending thoracic aorta continued to dilate due to backflow to the FL from an uncovered tear at the level of the renal arteries. MATERIALS AND METHODS: We modified a Gore Excluder 36–45 mm aortic extender (W. L. Gore & Associates, Inc. Flagstaff, USA) endoprosthesis into a CP device that was subsequently positioned under local anesthesia into the FL of the distal descending thoracic aorta. RESULTS: In 1 month control the backflow to false lumen had ceased and the aorta had decreased in diameter from 69 to 66 mm, FL from 37 to 34 mm, true lumen (TL) remained the same 32 mm. CONCLUSION: We describe a modified, effective candy-plug technique to occlude retrograde false lumen filling in aortic dissection. Springer International Publishing 2022-10-29 /pmc/articles/PMC9617994/ /pubmed/36308646 http://dx.doi.org/10.1186/s42155-022-00331-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | New Technologies Palm, Erik Valtola, Antti Manninen, Hannu Saari, Petri A modified candy-plug technique to occlude false lumen in aortic dissection |
title | A modified candy-plug technique to occlude false lumen in aortic dissection |
title_full | A modified candy-plug technique to occlude false lumen in aortic dissection |
title_fullStr | A modified candy-plug technique to occlude false lumen in aortic dissection |
title_full_unstemmed | A modified candy-plug technique to occlude false lumen in aortic dissection |
title_short | A modified candy-plug technique to occlude false lumen in aortic dissection |
title_sort | modified candy-plug technique to occlude false lumen in aortic dissection |
topic | New Technologies |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9617994/ https://www.ncbi.nlm.nih.gov/pubmed/36308646 http://dx.doi.org/10.1186/s42155-022-00331-0 |
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