Candy-Plug Technique Using an Excluder Aortic Extender for Distal Occlusion of a Large False Lumen Aneurysm in Chronic Aortic Dissection

Ogawa, Yoshiaki; Nishimaki, Hiroshi; Chiba, Kiyoshi; Murakami, Kenji; Sakurai, Yoshinori; Fujiwara, Keishi; Miyairi, Takeshi; Nakajima, Yasuo

doi:10.1177/1526602816640523

Cited by 42 publications

(35 citation statements)

References 5 publications

(5 reference statements)

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“…[11][12][13] Both the candy-plug and knickerbocker techniques have been used to encourage false lumen thrombosis after TEVAR. 14,15,17,18 Coil embolization of the false lumen has been used as another method of encouraging thrombosis, but fewer than 100 cases have been reported in the literature. 16,19,20 In patients with a larger false lumen relative to total aortic diameter, coil embolization may be preferred to the knickerbocker technique.…”

Section: Discussionmentioning

confidence: 99%

“…The candy-plug has the potential to narrow the true lumen, whereas coil embolization is more able to conform to the false lumen. 14,15 False lumen coil embolization provides an option for false lumen thrombosis in patients with more challenging anatomy.…”

Section: Discussionmentioning

confidence: 99%

“…The candy-plug technique deploys a modified covered stent graft into the false lumen, followed by an Amplatzer vascular plug (Abbott, St. Paul, Minn) at the waist to occlude flow. [14][15][16] However, this graft can lead to true lumen narrowing or stent-induced wall injury. 14,15,17 The knickerbocker technique involves inflation of a balloon inside of an oversized stent graft, causing a controlled rupture of the dissection flap and occluding false lumen flow.…”

mentioning

confidence: 99%

“…[14][15][16] However, this graft can lead to true lumen narrowing or stent-induced wall injury. 14,15,17 The knickerbocker technique involves inflation of a balloon inside of an oversized stent graft, causing a controlled rupture of the dissection flap and occluding false lumen flow. 18 This technique is used more often to occlude distal false lumen flow and is less applicable in patients with proximal perfusion.…”

mentioning

confidence: 99%

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False lumen embolization as a rescue technique in the setting of acute and chronic dissecting aneurysms as adjunct to thoracic endovascular aortic repair

Rakestraw

Feghali

Nguyen

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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Complicated type B aortic dissection (TBAD) is a life-threatening condition requiring surgical intervention. One such complication in the acute or chronic setting is aneurysmal degeneration. The dissected aortic wall is weakened, and the pressures in the false lumen are often high. In the past decade, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice for TBAD. TEVAR can be complicated by lack of false lumen thrombosis, increasing the risk of death. We present three cases of TBAD with patent false lumens after TEVAR that were treated by false lumen coil embolization. (J Vasc Surg Cases and Innovative Techniques 2020;6:110-7.)

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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False lumen embolization as a rescue technique in the setting of acute and chronic dissecting aneurysms as adjunct to thoracic endovascular aortic repair

Rakestraw

Feghali

Nguyen

et al. 2020

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…The original ‘candy-plug’ technique was described for occlusion of a large false lumen aneurysm of the descending aorta using a ‘candy-shaped’ stent-graft [ 2 ]. However, endovascular intervention with this technique alone still has two major problems: 1. the possibility of narrowing the true lumen by compression of the ‘candy-plug’ stent [ 3 ] and 2. The possibility of flap or vessel wall injury by the stent [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Modified ‘candy-plug’ technique for chronic type B aortic dissection with aneurysmal dilatation: a case report

Kotani

Inoue

Kasai

et al. 2017

J Cardiothorac Surg

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BackgroundThe original ‘candy-plug’ technique has been reported to be beneficial for the treatment of residual perfused false lumen in patients with aortic dissection. However, this technique is also associated with several problems, such as narrowing of the true lumen and damage to the flap or vessel wall. Therefore, we modified the procedure to overcome these problems. Here we report a case in which the patient was successfully treated using the modified procedure.Case presentationA 59-year-old man presented with chronic type B aortic dissection with aneurysmal dilatation. The patient had undergone prosthetic graft replacement of the ascending aorta for acute type A aortic dissection 3 years previously and replacement of the descending aorta for residual type B aortic dissection with aneurysmal dilatation 1 year previously. After these procedures, the residual false lumen aneurysm of the distal descending aorta expanded to 57-mm in diameter. Endovascular stent grafting was successfully performed using the modified ‘candy-plug’ technique with relining of the true lumen and occlusion of the false lumen. The patient was discharged 10 days after the procedure. Follow-up imaging at 1 year showed a completely thrombosed false lumen aneurysm.ConclusionThe modified ‘candy-plug’ technique is useful for treatment of residual type B aortic dissection with aneurysmal dilatation.

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Management of Chronic Descending Thoracic and Thoracoabdominal Dissection and Aneurysm - Stent Grafting, Debranching

Assi

Szeto

2021

Aortic Dissection and Acute Aortic Syndromes

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Candy-Plug Technique Using an Excluder Aortic Extender for Distal Occlusion of a Large False Lumen Aneurysm in Chronic Aortic Dissection

Abstract: The candy-plug technique using the Excluder aortic extender is feasible for occlusion of a large false lumen aneurysm in chronic aortic dissection.

Cited by 42 publications

References 5 publications

False lumen embolization as a rescue technique in the setting of acute and chronic dissecting aneurysms as adjunct to thoracic endovascular aortic repair

False lumen embolization as a rescue technique in the setting of acute and chronic dissecting aneurysms as adjunct to thoracic endovascular aortic repair

Modified ‘candy-plug’ technique for chronic type B aortic dissection with aneurysmal dilatation: a case report

Management of Chronic Descending Thoracic and Thoracoabdominal Dissection and Aneurysm - Stent Grafting, Debranching

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