Methods and Outcomes of Endovascular False Lumen Embolization for Thoracic Aortic Dissection

H, Li; YC, Chan; HY, Jia; SW, Cheng

doi:10.1016/j.avsg.2022.03.020

Cited by 4 publications

(1 citation statement)

References 59 publications

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“…In a multicentric retrospective study of 155 patients treated with a custom-made candy plug device (Cook Medical, Bloomington, IN, USA), 77% achieved early complete false lumen thrombosis, and only 4% experienced false lumen enlargement over time [34]. In the past and still today in certain settings, physician-modified thoracic endografts have been used to serve the same purpose [35,36]. The AVP II has been tried off-label as a false lumen occluder which should be deployed either from the false or true lumen.…”

Section: Embolization In Aortic Dissectionmentioning

confidence: 99%

Plug-Based Embolization Techniques of Aortic Side Branches during Standard and Complex Endovascular Aortic Repair

Melloni,

D’Oria,

Dioni

et al. 2024

JCM

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Vascular plugs are an evolving family of vessel occluders providing a single-device embolization system for large, high-flow arteries. Nitinol mesh plugs and polytetrafluoroethylene membrane plugs are available in different configurations and sizes to occlude arteries from 3 to 20 mm in diameter. Possible applications during complex endovascular aortic procedures are aortic branch embolization to prevent endoleak or to gain an adequate landing zone, directional branch occlusion, and false lumen embolization in aortic dissection. Plugs are delivered through catheters or introducers, and their technical and clinical results are comparable to those of coil embolization. Plugs are more accurate than coils as repositionable devices, less prone to migration, and have fewer blooming artifacts on postoperative computed tomography imaging. Their main drawback is the need for larger delivery systems. This narrative review describes up-to-date techniques and technology for plug embolization in complex aortic repair.

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Section: Embolization In Aortic Dissectionmentioning

confidence: 99%