title: Original Off-Label Endovascular Solution to Occlude False Lumen Rupture in Chronic Type B Aortic Dissection.
abstract: After Thoracic Endovascular Aortic Repair (TEVAR) for chronic type B aortic dissection (cTBD), the patency of the false lumen is quite common and its presence is associated with the risk of developing complications and is a predictor of death by aortic rupture. We report a case of a patient treated in emergency for the rupture of the false lumen in cTBD. He had previous TEVAR with persisting distal dissection and retrograde reperfusion of the false lumen. We performed an original endovascular treatment with graft relining and false lumen occlusion with a homemade "candy plug" obtained with 2 commercially available stent grafts.
authors.affiliation: Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Vascular Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. Electronic address: enricomaria.marone@unipv.it.
authors.forename: Enrico Maria
authors.initials: EM
authors.lastname: Marone
authors.affiliation: Vascular Surgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Leopardi
authors.affiliation: Vascular Surgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Bertoglio
authors.affiliation: Vascular Surgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Mascia
authors.affiliation: Vascular Surgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiesa
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002908:Chronic Disease; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D011474:Prosthesis Design; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome