title: Use of covered stent devices for false lumen embolization in chronic dissection: a novel approach.
abstract: Thoracic endovascular aortic repair (TEVAR) is effective in treating acute complicated dissection, but in the chronic state it is frequently complicated by persistent retrograde false lumen perfusion that results in treatment failure. We describe a novel endovascular technique and present an illustrative case of a patient with chronic dissection for which covered stent devices were used as an adjunct to TEVAR to occlude the distal thoracic false lumen and interrupt retrograde perfusion. The case demonstrates that this strategy promotes remodeling when used in addition to stent grafting the true lumen for chronic dissection.
authors.affiliation: Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: roselle@ccf.org.
authors.forename: Eric E
authors.initials: EE
authors.lastname: Roselli
authors.affiliation: Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Jahanzaib
authors.initials: J
authors.lastname: Idrees
authors.affiliation: Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Joshua
authors.initials: J
authors.lastname: Reside
authors.affiliation: Vascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
authors.forename: Susan
authors.initials: S
authors.lastname: Shafii
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D002908:Chronic Disease; D004617:Embolism / Q000209:etiology / Q000601:surgery; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents