Modified Candy-plug Device for Dilated False Lumen Occlusion: Is a Candle Better Than a Candy?
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 34953785.
- Also identified by DOI 10.1016/j.athoracsur.2021.11.041.
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Abstract
The AFX stent graft (Endologix) has an active seal mechanism that can conform to an irregular vascular lumen. We modified the candy-plug technique using an AFX VERA suprarenal extension with restricted purse-string sutures to shape it into a candle-like contraption. We treated 2 patients with patent, dilated false lumens (FLs) after central aortic repair using this technique. This plug was deployed into the FL to block retrograde blood flow proximally. Partial or complete thrombosis of the FL was observed in both patients 6 months after surgery. This technique was feasible for FL occlusion.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Blood Vessel Prosthesis Implantation
- Endovascular Procedures