Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion: A word of caution

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-04-05 DOI:10.1016/j.jvscit.2025.101800

Nabil Saouti MD, PhD , Stijn Hazenberg MD, PhD , Guillaume S.C. Geuzebroek MD, PhD , Michel W.A. Verkroost MD , Foeke J. Nauta MD, PhD , Wilson L. Li MD , Josst A. van Herwaarden MD, PhD , Robin H. Heijmen MD, PhD

引用次数: 0

Abstract

We describe a patient treated with thoracic endovascular aortic repair and false lumen (FL) occluder for chronic type B aortic dissection. We noticed during open surgery for contained rupture that the distal unstented sleeve of the FL occluder crossed from the false into the true lumen through an intimal reentry (used for its introduction into the FL) potentially obstructing true lumen-originating renovisceral arteries.

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假腔闭塞器远端套筒通过近端内膜再入移位可能导致内脏灌注不良：一个警告

我们描述了一位接受胸腔血管内主动脉修复术和假腔封堵器治疗慢性B型主动脉夹层的患者。我们注意到，在开放性手术中，囊室闭塞器的远端未支架套筒通过内膜再入（用于导入囊室）从假腔进入真腔，可能阻塞真腔起源的肾脏动脉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.