Chronic thoracoabdominal aortic dissection: endovascular options to obliterate the false lumen

Vargo, Patrick R.; Maigrot, Jean-Luc; Roselli, Eric E.

doi:10.21037/acs-2021-taes-23

Cited by 6 publications

(3 citation statements)

References 24 publications

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“…Although all techniques to close the FL have their advantages and disadvantages, it is unknown how balloon septal rupture compares with other methods. 12 , 13 , 14 , 15 , 16 , 17 Additionally, success is highly predicated on patient anatomy, which must include a distal segment where the transaortic diameter is no greater than the largest available endograft diameter to facilitate complete 360 o wall apposition and FL closure. Therefore, not all chronic type B dissections with aneurysm will be amenable to this type of repair.…”

Section: Discussionmentioning

confidence: 99%

Controlled balloon false lumen obliteration for the endovascular management of chronic dissection in the descending thoracic aorta

Watkins¹,

Dossabhoy²,

Dalal³

et al. 2023

JTCVS Techniques

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Section: Discussionmentioning

confidence: 99%

Controlled balloon false lumen obliteration for the endovascular management of chronic dissection in the descending thoracic aorta

Watkins¹,

Dossabhoy²,

Dalal³

et al. 2023

JTCVS Techniques

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“…In the presence of a chronic aortic dissection, some authors have experimented with the use of nitinol plugs in the false lumen (alone or in combination with coils) to promote thrombosis and remodeling [33]. The candy plug technique requires a custom-made device currently only available in Europe in its third generation (William Cook Europe, Bjaeverskov, Denmark).…”

Section: Embolization In Aortic Dissectionmentioning

confidence: 99%

Plug-Based Embolization Techniques of Aortic Side Branches during Standard and Complex Endovascular Aortic Repair

Melloni,

D’Oria,

Dioni

et al. 2024

JCM

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Vascular plugs are an evolving family of vessel occluders providing a single-device embolization system for large, high-flow arteries. Nitinol mesh plugs and polytetrafluoroethylene membrane plugs are available in different configurations and sizes to occlude arteries from 3 to 20 mm in diameter. Possible applications during complex endovascular aortic procedures are aortic branch embolization to prevent endoleak or to gain an adequate landing zone, directional branch occlusion, and false lumen embolization in aortic dissection. Plugs are delivered through catheters or introducers, and their technical and clinical results are comparable to those of coil embolization. Plugs are more accurate than coils as repositionable devices, less prone to migration, and have fewer blooming artifacts on postoperative computed tomography imaging. Their main drawback is the need for larger delivery systems. This narrative review describes up-to-date techniques and technology for plug embolization in complex aortic repair.

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“…Traumatic thoracic fracture presenting with blunt vascular injury is uncommon ( 1 ). This type of injury may be asymptomatic or very serious, with a mortality rate of up to 90% in the event of full laceration of the vessel ( 2 , 3 ). Delayed diagnosis and treatment may have a catastrophic outcome.…”

Section: Introductionmentioning

confidence: 99%

Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review

Hong²,

Pan³

et al. 2022

Front. Surg.

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Blunt vascular injury of the aorta combined with thoracolumbar fracture is rare. Delayed diagnosis may have a catastrophic outcome. We present a case of blunt thoracic aortic injury combined with a vertebral body fracture at T10 after a fall from height in which the diagnosis was delayed. After consultation with the vascular and spinal surgeons, we performed a thoracic endovascular aortic repair. When the patient’s condition had stabilized, the fractures were reduced using posterior vertebral instrumentation. Prolonged compression of the thoracic aorta resulted in extensive necrosis of muscle tissues in the right lower leg. Fortunately, clinical and radiological examinations performed 7 months and 1 year later did not reveal any further damage. Cases of thoracic vertebral fracture with concomitant blunt thoracic aortic injury reported in the literature are reviewed. Thoracic endovascular aortic repair is a feasible, safe, and effective minimally invasive treatment for aortic injury when combined with thoracic vertebral fracture.

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Chronic thoracoabdominal aortic dissection: endovascular options to obliterate the false lumen

Cited by 6 publications

References 24 publications

Controlled balloon false lumen obliteration for the endovascular management of chronic dissection in the descending thoracic aorta

Controlled balloon false lumen obliteration for the endovascular management of chronic dissection in the descending thoracic aorta

Plug-Based Embolization Techniques of Aortic Side Branches during Standard and Complex Endovascular Aortic Repair

Delayed diagnosis of blunt thoracic aortic injury due to thoracic vertebral fracture: A case report and literature review

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