Coil Embolization of Persistent False Lumen After Type A Dissection Repair

Endovascular coil embolization of a complex aortic arch pseudoaneurysm following arch stenting

“…However, we found a limited number of reports describing coil embolization as a feasible alternative treatment of arch aneurysms that developed after surgical repair of type A aortic dissection. [10][11][12] To our knowledge, we present the first coiling procedure of an aortic arch pseudoaneurysm following stenting. Coil embolization is frequently used by interventional radiologists in the treatment of intracranial aneurysms.…”

Endovascular entry closure using Amplatzer vascular plug for the aortic dissection in sub-acute phase

“…This case had a high risk for perioperative complications with open surgery, and the entry tear in the aortic arch was not far enough away from the left subclavian artery for stent graft deployment. Although coil embolization for the false lumen after Stanford type A aortic dissection has been reported [5], this procedure had a risk for coil migration and distal embolism in this case due to the lack of a narrow space for the coils to stay in position. The Amplazter vascular plug 2 is composed of 3 disks.…”

Novel Endovascular Management of Proximal Type A (DeBakey II) Aortic Dissection With a Patent Foramen Ovale Occluder

“…11 Coils and plugs may play a growing role in false lumen management given their ability to prevent antegrade false lumen flow from entries within the arch or ascending aorta. 12,13 Their use may require a narrow proximal entry to the false lumen in the arch for the embolization materials to stay in position.…”

“…Given the technical feasibility to prevent antegrade false lumen flow from entries within the arch or ascending aorta coils and plugs may play a growing role in false lumen management. (10,11) They may require a narrow proximal entry to the false lumen in the arch for the embolization materials to stay in position. Our case is unique in dealing with an entry in the ascending aorta by use of coils to promote thrombosis followed by an occlusive seal of the entry tear.…”