Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion: A word of caution
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.
Authors
- Stijn Hazenberg
- Nabil Saouti
- Wilson Li (ORCID: https://orcid.org/0000-0003-0119-5439)
- Robin H. Heijmen (ORCID: https://orcid.org/0000-0003-1503-2374)
- Joost A. van Herwaarden (ORCID: https://orcid.org/0000-0003-1165-5179)
- Michel Verkroost
- Guillaume S C Geuzebroek (ORCID: https://orcid.org/0000-0003-0407-2901)
- Foeke Nauta
Institutions
- Radboud University Nijmegen (NL)
- Radboud University Medical Center (NL)
- University Medical Center Utrecht (NL)
Publication Details
- Journal
- Journal of Vascular Surgery Cases and Innovative Techniques
- Published
- 2025-04-06
- DOI
- https://doi.org/10.1016/j.jvscit.2025.101800
- Primary Topic
- Vascular Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Radboud Universitair Medisch Centrum