Complete entry closure in isolated abdominal aortic dissection with a vascular plug: a case report

The use of the AVP in IAAD proved effective by promoting thrombosis within the false lumen and preventing its expansion. This offered a less invasive alternative, avoiding complications associated with endovascular aortic repair or open surgery, especially given the patient's challenging anatomy. However, potential risks such as exacerbation of the entry tear or embolic events should be considered, warranting careful deployment with an endovascular plug. Amplatzer Vascular Plug-based entry closure provides an effective, less invasive strategy for IAAD management. Further research is needed to confirm its long-term safety and efficacy.

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Publication Details

Journal
European Heart Journal - Case Reports
Published
2025-10-14
DOI
https://doi.org/10.1093/ehjcr/ytaf533
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
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article

Complete entry closure in isolated abdominal aortic dissection with a vascular plug: a case report

Soh Hosoba, Akimitsu Tanaka, Shin Hasegawa, Takeki Ohashi
European Heart Journal - Case Reports
Cardiac, Anesthesia and Surgical Outcomes
article

Complete entry closure in isolated abdominal aortic dissection with a vascular plug: a case report

Soh Hosoba, Akimitsu Tanaka, Shin Hasegawa, Takeki Ohashi
article en

Abstract

The use of the AVP in IAAD proved effective by promoting thrombosis within the false lumen and preventing its expansion. This offered a less invasive alternative, avoiding complications associated with endovascular aortic repair or open surgery, especially given the patient's challenging anatomy. However, potential risks such as exacerbation of the entry tear or embolic events should be considered, warranting careful deployment with an endovascular plug. Amplatzer Vascular Plug-based entry closure provides an effective, less invasive strategy for IAAD management. Further research is needed to confirm its long-term safety and efficacy.

European Heart Journal - Case ReportsVol. 9(11)
Fukuoka Tokushukai Hospital (JP), Yao Tokushukai General Hospital (JP)
Openalex Percentile: Top 56%
Cardiac, Anesthesia and Surgical Outcomes
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