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

Hata, Yosuke; Iida, Osamu; Asai, Mitsuyoshi; Masuda, Masaharu; Okamoto, Shin; Ishihara, Takayuki; Nanto, Kiyonori; Kanda, Takashi; Tsujimura, Takuya; Okuno, Shota; Matsuda, Yasuhiro; Mano, Toshiaki

doi:10.1016/j.jccase.2017.11.004

Cited by 6 publications

(6 citation statements)

References 7 publications

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“…Finally, a total of 5 articles including 7 patients were found (Table 1). [4][5][6][7][8] In all of the 8 cases, including our case, ascending aorta replacement or hemiarch replacement was previously performed for type A aortic dissection, and later the proximal descending aorta dilated with the residual tears in the aortic arch or the proximal descending aorta. The median age was 57 (range: 44 to 79).…”

Section: Discussionmentioning

confidence: 82%

Amplatzer Vascular Plug for Complicated Residual DeBakey Type 1 Aortic Dissection in the Aortic Arch

Ikeda

Shih

Rhee

et al. 2021

Innovations�(Phila)

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Surgical treatment of acute DeBakey type I aortic dissection does not address the entire aorta, which can leave anatomically complex residual aortic dissection in the aortic arch and descending aorta. Open repair has been the standard treatment for this pathology. When the lesions are located in the aortic arch, re-do total arch replacement needs to be performed. Plug placement to close small entry tears in the aortic arch has been reported. This article reports about a 79-year-old man who underwent hemiarch replacement for acute DeBakey type I aortic dissection. One year later, his proximal descending aorta dilated to 6.3 cm. The patient was treated with Amplatzer plug in the false lumen, and a stent graft was placed in the true lumen. Follow-up computed tomography scan confirmed complete thrombosis of the false lumen in the descending aorta which had decreased from 6.3 to 4.0 cm. Plug placement in the false lumen in the aortic arch is a potential treatment strategy for anatomically complex residual aortic dissection to induce thrombosis of the false lumen and encourage remodeling.

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Section: Discussionmentioning

confidence: 82%

Amplatzer Vascular Plug for Complicated Residual DeBakey Type 1 Aortic Dissection in the Aortic Arch

Ikeda

Shih

Rhee

et al. 2021

Innovations�(Phila)

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“…In our case, we applied TEVAR in the acute phase. Patients in chronic and subacute phases were previously reported in the literature 3,4 . This is of high importance because the stability of the tissue around the entry site has to determine the role when Amplatzer vascular plugs are applied.…”

Section: Discussionmentioning

confidence: 99%

“…Patients in chronic and subacute phases were previously reported in the literature. 3,4 This is of high importance because the stability of the tissue around the entry site has to determine the role when Amplatzer vascular plugs are applied. We can expect at least a 2-year favorable outcome after using Amplatzer for closure of re-entry blood flows from true to false lumen, in the acute phase of aortic dissection.…”

Section: Discussionmentioning

confidence: 99%

Novel repair of acute Stanford type B aortic dissection using combined endovascular graft and transfemoral replacement of vascular plug

Raiszadeh,

Khosronejad,

Dianaty

et al. 2023

Cathet Cardio Intervent

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We present successful treatment of dissected thoracoabdominal aorta using combined thoracic endovascular aortic repair and transfemoral replacement of Amplatzer™ vascular plug in a 38‐year‐old patient. Computed tomography angiography revealed a false lumen from the left subclavian artery to the left common iliac trunk, with re‐entries connecting it to the true lumen of the aorta. We replaced the prosthetic endovascular graft just below the left subclavian artery to the top of the superior mesenteric artery. Amplatzer™ vascular plug was replaced below the diaphragm in a closed transfemoral procedure to prevent re‐entry. The patient was discharged in good condition and 2 years postoperation imaging showed complete pseudoaneurysm closure.

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“…Intimal tear in ascending aortic pathology is an uncommon and catastrophic event, and open aortic replacement with cardio-pulmonary bypass is the gold standard. Nevertheless, patients have increasingly become elderly with multiple medical comorbidities, and recent interest has shifted toward less invasive methods of therapy, such as coil embolization and transcatheter interventions using occluder or stent grafts in high-risk patients 1–8 …”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, patients have increasingly become elderly with multiple medical comorbidities, and recent interest has shifted toward less invasive methods of therapy, such as coil embolization and transcatheter interventions using occluder or stent grafts in high-risk patients. [1][2][3][4][5][6][7][8] The benefits of percutaneous transcatheter closure include its relative ease of use, avoidance of general anesthesia, lower surgical morbidity, and mortality. However, some challenging issues remain for each of these approaches.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Device Repair of Ascending Aortic Pathology in Selected High-risk Patients

Liu

Wang

et al. 2021

Annals of Surgery

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I ntimai tear in ascending aorta usually develops following aortic pathology, such as aortic dissection and aortic pseudoaneurysm after thoracic surgery. [1][2][3][4] Open aortic replacement is the conventionally gold standard for ascending aortic pathology.In this report, we describe our initial experience with a novel minimally invasive device repair (MIDR) for intimal tear in ascending aorta in high-risk patients under transesophageal echocardiographic (TEE) guidance. METHODS Patient's Clinical DetailsBetween January 2017 and January 2021, 10 selected patients with intimal tear in ascending aorta were selected for MIDR. Clinical data was summarized in Table 1. The clinical protocol was approved by the Ethics Committee of the hospital and all patients provided informed written consent.

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

Cited by 6 publications

References 7 publications

Amplatzer Vascular Plug for Complicated Residual DeBakey Type 1 Aortic Dissection in the Aortic Arch

Amplatzer Vascular Plug for Complicated Residual DeBakey Type 1 Aortic Dissection in the Aortic Arch

Novel repair of acute Stanford type B aortic dissection using combined endovascular graft and transfemoral replacement of vascular plug

Minimally Invasive Device Repair of Ascending Aortic Pathology in Selected High-risk Patients

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