Endovascular Aortic Repair Combined with Chimney Technique in the Treatment of Stanford Type B Aortic Dissection Involving Aortic Arch

A current systematic evaluation and meta-analysis of chimney graft technology in aortic arch diseases

“…Basic characteristics of the patients as reported in the included studies significant but publication bias was not (Q, P ¼ .0041; I 2 ¼ 56.7%; Egger test, P ¼ .326). The reported reinterventions were due to type II endoleak26 managed by patent ductus arteriosus occluder or coiling of the left subclavian and restenting. Single cases of a fractured left carotid stent…”

Non‐A non‐B aortic dissection: A literature review

“…In two cases, the double chimney technique was used to simultaneously reconstruct the innominate artery and the left common carotid artery. The mean follow‐up period for this cohort was 17.3 ± 6.1 months and the authors reported a 0% 30‐day mortality rate 39 . None of the patients were reported to have a type I endoleak however four had type II endoleak.…”

Outcomes of hybrid procedure for type B aortic dissection with an aberrant right subclavian artery

“…In the case where the primary entry tear was close to the LSA (distance < 1.5 cm), the chimney technique was used to rebuild the LSA and occluded the orifice of the ARSA with a thoracic stent-graft. 5,6 It may lead to vertebrobasilar territory or right upper extremity ischemia in the long-term follow-up without reconstructing the ARSA. So far, only a few case reports with short-term outcomes have been published, and long-term outcomes of this less invasive treatment for TBAD with an ARSA are needed.…”

“…In the last few decades, only a few case reports have been published. Several strategies, such as total arch replacement, 2 stent elephant trunk, 3 thoracic endovascular aortic repair (TEVAR), 4 chimney technique, 5,6 and a hybrid procedure, 7 have been reported as management options for pathology. However, there is no consensus on the optimal treatment strategy for coexistence of TBAD and an ARSA owing to the rarity of cases.…”