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Physician-Modified Thoracic Stent-Graft With Low Distal Radial Force to Prevent Distal Stent-Graft-Induced New Entry Tears in Patients With Genetic Aortic Syndromes and Aortic Dissection
Univ Heart Ctr, Dept Vasc Med, German Aort Ctr Hamburg, Martinistr 52, D-20246 Hamburg, Germany.
Univ Heart Ctr, Dept Vasc Med, German Aort Ctr Hamburg, Martinistr 52, D-20246 Hamburg, Germany.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Univ Heart Ctr, Dept Vasc Med, German Aort Ctr Hamburg, Martinistr 52, D-20246 Hamburg, Germany.
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2018 (English)In: Journal of Endovascular Therapy, ISSN 1526-6028, E-ISSN 1545-1550, Vol. 25, no 4, p. 456-463Article in journal (Refereed) Published
Abstract [en]

Purpose: To describe a novel modification technique to lower the distal radial force of a thoracic stent-graft so as to avert stent-graft-induced new entry tears (SINE) in the fragile aorta of patients with genetic aortic disease and aortic dissection. Technique: A commercially available thoracic stent-graft is partially deployed on a back table. The most distal Z-stent is removed, the distal fabric is marked by vascular clips, and the modified stent-graft is reloaded and deployed in the true lumen of an aortic dissection. The technique is demonstrated in 3 patients with aortic dissection related to genetic aortic diseases. Conclusion: Creating a low distal radial force stent-graft is easy and can be done in a short time. Endovascular implantation appears feasible and safe.

Place, publisher, year, edition, pages
2018. Vol. 25, no 4, p. 456-463
Keywords [en]
complications, connective tissue disease, descending thoracic aorta, endograft, entry tear, false lumen, genetic aortic disease, stent-graft, thoracic aorta, thoracic aortic dissection, thoracic endovascular aortic repair
National Category
Cardiac and Cardiovascular Systems Surgery
Identifiers
URN: urn:nbn:se:uu:diva-387872DOI: 10.1177/1526602818774795ISI: 000438584200008PubMedID: 29737239OAI: oai:DiVA.org:uu-387872DiVA, id: diva2:1331126
Note

Incorrect Pubmed ID in WoS: 29187014

Available from: 2019-06-26 Created: 2019-06-26 Last updated: 2019-06-26Bibliographically approved

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Mani, KevinWanhainen, Anders

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