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Scheduled re-entry coil embolization before entry coverage of thoracic endovascular stent grafting for aneurysmal chronic type B aortic dissection
Author(s) -
Kosuke Katayama,
Nagomi Uchida,
Shin’ya Takahashi,
Taijiro Sueda
Publication year - 2012
Publication title -
interactive cardiovascular and thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.546
H-Index - 56
eISSN - 1569-9293
pISSN - 1569-9285
DOI - 10.1093/icvts/ivs288
Subject(s) - medicine , stent , embolization , lumen (anatomy) , aneurysm , radiology , aortic dissection , surgery , thrombosis , occlusion , aortic aneurysm , aorta
Endovascular treatment for type B dissections is controversial. This therapy aims at complete occlusion and thrombosis of the false lumen of the aneurysm. We report a case where cessation of flow was achieved using covered stent grafts in conjunction with coil embolization of the false lumen. The use of scheduled coil re-entry embolization of the false lumen before endovascular entry coverage using a stent graft is a novel approach that could become a treatment option for aneurysmal type B dissection.

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