Managing False Lumen Patency in Chronic Thoracic Aortic Dissecting Aneurysms With Coil Embolization

Tex Heart Inst J. 2023 Mar 1;50(2):e227938. doi: 10.14503/THIJ-22-7938.

Abstract

Thoracic endovascular aortic repair has become the preferred modality of treatment of complicated type B aortic dissections. However, persistent pressurization of the false lumen can lead to negative aortic remodeling with aneurysmal dilation. Described herein is the coil embolization technique that can be used to manage this complication and a review of the literature on the recent development of management options.

Keywords: Aortic dissection; embolization; thoracic endovascular repair.

Publication types

  • Review

MeSH terms

  • Aortic Aneurysm, Thoracic* / diagnosis
  • Aortic Aneurysm, Thoracic* / surgery
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / surgery
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Humans
  • Retrospective Studies
  • Stents
  • Treatment Outcome

Grants and funding

Funding/Support: None