Department for Vascular Medicine, University Heart Center, University Hospital Hamburg Eppendorf, Hamburg, Germany.
J Endovasc Ther. 2013 Aug;20(4):484-9. doi: 10.1583/13-4318.1.
To report a technique to create an extra-large vascular plug for occlusion of a large distal false lumen in chronic aortic dissection.
The "candy-plug" technique is demonstrated in a 58-year-old multimorbid man with a history of complicated acute type B aortic dissection and a 9-cm chronic thoracic false lumen aneurysm. The patient underwent a staged repair with a cervical debranching procedure as a first step and a thoracic endovascular aortic repair from the innominate artery to the celiac artery as a second step. To occlude the large false lumen from a distal route, a stent-graft was modified on-table with a diameter-restricting suture, giving it a wrapped candy-like shape. This plug was deployed into the false lumen, and the remaining opening was occluded with a standard vascular plug. On 3-month follow-up imaging, the thoracic false lumen aneurysm remained completely thrombosed.
The candy-plug technique can facilitate complete occlusion of chronic thoracic false lumen aneurysm by prohibiting distal false lumen backflow.
报道一种用于封堵慢性主动脉夹层中较大远端假腔的超大血管塞的制作技术。
“糖塞”技术在一位 58 岁的多病男性患者中得到了展示，该患者患有复杂的急性 B 型主动脉夹层和 9cm 的慢性胸段假腔动脉瘤。患者接受了分期修复，首先进行了颈部去分支手术，然后进行了从无名动脉到腹腔动脉的胸主动脉腔内修复术。为了从远端途径封堵大的假腔，在台上用直径限制缝线对支架移植物进行了修改，使其呈包裹的糖果状。将这个塞子放入假腔中，用标准的血管塞封闭剩余的开口。在 3 个月的随访影像学检查中，胸段假腔动脉瘤完全血栓形成。
糖塞技术可以通过阻止远端假腔反流来促进慢性胸段假腔动脉瘤的完全闭塞。
