A pitfall of false lumen embolization in chronic aortic dissection: intimal injury caused by the embolization device edge

We report a case of intimal injury caused by the occluder device in the false lumen (FL) after treatment of refractory chronic aortic dissection with FL embolization. We speculate that the intimal injury was due to the disproportionate stress from the FL. We covered the new entry by an additional st...

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Veröffentlicht in:	Interactive cardiovascular and thoracic surgery 2017-01, Vol.24 (1), p.153-155
Hauptverfasser:	Furukawa, Tomokuni, Uchida, Naomichi, Yamane, Yoshitaka, Yamada, Kazunori
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - surgery Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - injuries Aorta, Thoracic - surgery Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - surgery Blood Vessel Prosthesis Chronic Disease Embolization, Therapeutic - instrumentation Endovascular Procedures - instrumentation Female Humans Image Processing, Computer-Assisted Time Factors Tomography, X-Ray Computed Tunica Intima - diagnostic imaging Tunica Intima - injuries Vascular System Injuries - diagnosis Vascular System Injuries - etiology
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Zusammenfassung:	We report a case of intimal injury caused by the occluder device in the false lumen (FL) after treatment of refractory chronic aortic dissection with FL embolization. We speculate that the intimal injury was due to the disproportionate stress from the FL. We covered the new entry by an additional stent graft in the true lumen. The deployment of a stent device in both lumens at the level of embolization might be indispensable for FL embolization.
ISSN:	1569-9293 1569-9285
DOI:	10.1093/icvts/ivw279