scholarly journals Toronto PowerWire fenestration technique to access false lumen branches in fenestrated endovascular aneurysm repair for chronic type B dissection

2019 ◽  
Vol 69 (1) ◽  
pp. 249-252 ◽  
Author(s):  
Steffan Frosi Stella ◽  
Thomas F. Lindsay ◽  
Kong T. Tan
Keyword(s):  
Endovascular Aneurysm Repair ◽  
False Lumen ◽  
Type B ◽  
Chronic Type ◽  
Type B Dissection ◽  
Aneurysm Repair

Endovascular Aneurysm Repair Using a Reverse Chimney Technique in a Patient With Marfan Syndrome and Contained Ruptured Chronic Type B Dissection

2011 ◽  
Vol 34 (5) ◽  
pp. 1080-1084 ◽  
Author(s):  
Dominik Ketelsen ◽  
Guenay Kalender ◽  
Martin Heuschmid ◽  
Roland Syha ◽  
Stefanie Mangold ◽  
...  
Keyword(s):  
Marfan Syndrome ◽  
Endovascular Aneurysm Repair ◽  
Type B ◽  
Chronic Type ◽  
Chimney Technique ◽  
Type B Dissection ◽  
Aneurysm Repair

Distal Neo-Neck Formation for Chronic Type B Dissection: False Lumen Closure After TEVAR

2018 ◽  
Vol 53 (3) ◽  
pp. 199-205 ◽  
Author(s):  
Masato Furui ◽  
Shoji Sakaguchi ◽  
Bunpachi Kakii ◽  
Gaku Uchino ◽  
Mai Asanuma ◽  
...  
Keyword(s):  
False Lumen ◽  
Additional Treatment ◽  
Type B ◽  
Chronic Type ◽  
Direct Closure ◽  
Descending Aorta ◽  
Type B Dissection ◽  
Enhanced Computed Tomography ◽  
Staged Treatment ◽  
Open Surgical Approach

Objectives: Patients with chronic aortic dissection often require repeat interventions due to enlargement of the pressurized false lumen or disseminated intravascular coagulation even after additional thoracic endovascular aortic repair (TEVAR) to occlude the entry tear. Residual false lumen flow can persist even after performing the candy-plug technique or branched stent-graft placement in some cases. We have devised a new method for false lumen closure. Methods: From December 2010 to May 2017, 5 patients (mean age: 57 [13] years, range: 43-77 years) with chronic dissection at the aortic arch and descending aorta, who underwent initial TEVAR, required additional treatment. Using an open surgical approach, the endograft was fixed with an outer felt under cardiopulmonary bypass after the endograft with stent was expanded by fenestration. The false lumen was closed using this procedure, and the aortotomy was repaired by direct closure in 2 cases and by graft replacement in 3 cases. Results: No major operative complications occurred, such as respiratory failure or paraplegia. Postoperative enhanced computed tomography (CT) images showed that the false lumen flow disappeared in all cases. All patients were discharged under normal conditions. They were all followed up and their CT did not indicate any complications for a mean of 33.6 (20.3) months. Conclusions: Our combined procedure was effective and provided a higher success rate compared with endovascular therapy alone. This staged treatment approach, using a combination of TEVAR and false lumen closure, is less invasive compared with open surgery alone and may represent a valid treatment option for chronic type B dissection.

scholarly journals Coil-assisted false lumen thrombosis in complicated chronic type B dissection

2008 ◽  
Vol 48 (2) ◽  
pp. 465-468 ◽  
Author(s):  
Eric Hager ◽  
Neil Moudgill ◽  
Adam Lipman ◽  
Paul DiMuzio ◽  
Joseph Lombardi
Keyword(s):  
False Lumen ◽  
Type B ◽  
Chronic Type ◽  
Type B Dissection
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