False lumen embolization and false lumen stent-graft techniques for ruptured post-dissection thoracoabdominal aneurysm

Abstract This report details the successful endovascular repair of a ruptured thoracoabdominal aortic aneurysm in a patient with chronic type B aortic dissection. The procedure consisted of thoracic endovascular aortic repair, abdominal endovascular aortic repair, false lumen (FL) embolization with...

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Veröffentlicht in:Journal of surgical case reports 2024-08, Vol.2024 (8), p.rjae478
Hauptverfasser: Umibe, Takumi, Nishiori, Hironobu, Ikeuchi, Hiroki, Koizumi, Shintaroh, Ueda, Hideki, Matsumiya, Goro
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container_issue 8
container_start_page rjae478
container_title Journal of surgical case reports
container_volume 2024
creator Umibe, Takumi
Nishiori, Hironobu
Ikeuchi, Hiroki
Koizumi, Shintaroh
Ueda, Hideki
Matsumiya, Goro
description Abstract This report details the successful endovascular repair of a ruptured thoracoabdominal aortic aneurysm in a patient with chronic type B aortic dissection. The procedure consisted of thoracic endovascular aortic repair, abdominal endovascular aortic repair, false lumen (FL) embolization with Candy-Plug, and FL stent-graft technique. The approach effectively regulated FL inflow, achieving complete FL closure. The patient was discharged without major complications including spinal cord ischemia or renal failure, and the long-term outcome is also favorable with reduction of the aneurysm size. The follow-up results have shown a reduction in the aneurysm size. This less invasive method could be an option of treatments for post-dissection thoracoabdominal aortic aneurysms, especially in ruptured cases.
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title False lumen embolization and false lumen stent-graft techniques for ruptured post-dissection thoracoabdominal aneurysm
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