Successful endovascular treatment of an ascending aortic pseudoaneurysm using an Amplatzer Vascular Plug II

Matsuzawa, Takuya; Kasai, Mari; Yamabe, Kentaro; Inaba, Yu; Aoki, Michiko; Oguro, Sota; Sakamoto, Munehisa; Sekimoto, Yasuhito; Kawamura, Akio; Osako, Motohiko

doi:10.1007/s11748-020-01367-6

Cited by 8 publications

(9 citation statements)

References 5 publications

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“…Traditionally, open surgical management is the primary management modality 1 ; however, high-risk patients may require other management modalities with more acceptable risks. 2 , 3 , 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

“…Endovascular management of ascending aorta pathologies have become an area of interest because it leverages the typically lower risk of an endovascular approach. 3 , 4 , 5 In the index case, the patient already had a sternotomy and was anticipated to—and did have—a repeat sternotomy to tackle his enlarging aortic arch aneurysm. Subjecting him to 2 prior sternotomies before the arch reconstruction would have significantly increased operative risk.…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, ascending aortic endografts are not yet readily unavailable; hence, surgeons have been limited to the off-label use of descending thoracic and abdominal aortic stent-grafts. 2 , 3 In this case, we appealed for the use of an experimental ascending aortic endograft currently being used in the Gore Arise trial and the device was approved for use on compassionate basis.…”

Section: Discussionmentioning

confidence: 99%

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Endovascular exclusion of ascending aortic pseudoaneurysm with an experimental ascending aortic stent-graft

Onyemkpa¹,

Coselli²

2023

JTCVS Techniques

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Endovascular exclusion of ascending aortic pseudoaneurysm with an experimental ascending aortic stent-graft

Onyemkpa¹,

Coselli²

2023

JTCVS Techniques

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“…Универсальность и многопрофильность этого устройства показали в публикациях его успешное применение при различных, не связанных с межпредсердной перегородкой, патологиях [7]. В частности, выбранная стратегия лечения была основана на положительном результате подобных сообщений [8,9].…”

Section: клинический случайunclassified

Percutaneous exclusion of ascending aorta pseudoaneurysm with a PFO closure device

Vlasko¹,

Charchyan²,

Polyakov³

et al. 2022

Clinical and Experimental Surgery. Petrovsky journal

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МАЛОИНВАЗИВНЫЕ, ЭНДОВАСКУЛЯРНЫЕ И ЭНДОСКОПИЧЕСКИЕ ТЕХНОЛОГИИ ■В статье представлен клинический случай эндоваскулярной эмболизации ложной аневризмы восходящей аорты окклюдером для закрытия овального окна у мужчины 49 лет. Ранее пациенту выполнялось открытое хиругическое протезирование аневризмы восходящей аорты. В дальнейшем по результатам контрольной МСКТ-аортографии была выявлена ложная аневризма в месте анастомоза аорты с протезом. В представленной работе проанализированы варианты коррекции данного заболевания, обоснована эндоваскулярная тактика лечения данной патологии. Сделан вывод об эффективности методики.Финансирование. Исследование не имело спонсорской поддержки.Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

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“…Treatment is recommended in all cases regardless of symptoms as the mortality rate if left untreated has been documented to be as high as 61% 1,5–7 . Additional pseudoaneurysm related complications include rupture, fistula formation, infection, or distal embolization 8,9 …”

Section: Introductionmentioning

confidence: 99%

Percutaneous closure of a post‐surgical ascending aortic pseudoaneurysm with an amplatzer septal occluder device and steerable guiding sheath

McClure

Ratnayake

Chan

et al. 2021

Cathet Cardio Intervent

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Thoracic pseudoaneurysm in the ascending aorta is an uncommon condition associated with significant risk of morbidity and mortality. Treatment is recommended in all cases regardless of symptoms as the mortality rate if left untreated has been documented to be as high as 61%. The current standard of care for managing these lesions is open surgical repair. However, this is associated with significant morbidity. In‐hospital mortality reported for patients undergoing surgical repair of an ascending aortic pseudoaneurysm ranges from 6.7% to 41%. When anatomically suitable, a less invasive approach using amplatzer vascular plug or septal occluder is an attractive approach. We present a case report of repair of a post‐surgical ascending aortic false aneurysm using an amplatzer septal occluder with an Oscor ™ steerable guiding sheath; a novel approach to increase platform stability when engaging an aneurysm neck. Endovascular occluder deployment for closure of aortic false aneurysms remains a relatively novel technique. It is limited by the requirement to develop a stable endovascular platform to deliver the device and avoid system prolapse, particularly when accessing challenging lesions on the inner aortic curvature. We present the first case to utilize a steerable guiding sheath system to improve system stability and facilitate successful device delivery. Given the significant morbidity associated with open repair of these lesions we hope this will further expand the range of lesions viewed as appropriate for endovascular repair.

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Successful endovascular treatment of an ascending aortic pseudoaneurysm using an Amplatzer Vascular Plug II

Cited by 8 publications

References 5 publications

Endovascular exclusion of ascending aortic pseudoaneurysm with an experimental ascending aortic stent-graft

Endovascular exclusion of ascending aortic pseudoaneurysm with an experimental ascending aortic stent-graft

Percutaneous exclusion of ascending aorta pseudoaneurysm with a PFO closure device

Percutaneous closure of a post‐surgical ascending aortic pseudoaneurysm with an amplatzer septal occluder device and steerable guiding sheath

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