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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 11/2019

01-11-2019 | How to Do It

Folding procedure to diminish type 3 endoleakage after open stent graft surgery with TEVAR extension

Authors: Tatushi Onzuka, Kojiro Furukawa, Eiki Tayama, Shigeki Morita, Akira Shiose

Published in: General Thoracic and Cardiovascular Surgery | Issue 11/2019

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Abstract

We herein report a new procedure to prevent type 3 endoleakage (EL3) after open stent graft (OSG) surgery with thoracic endovascular aortic repair (TEVAR) extension. The OSG Dacron graft portion is reversed and folded inside the OSG stent graft portion intraoperatively, filling the crack between the OSG and TEVAR device. We applied this procedure in two patients with no postoperative complications. Our folding procedure may prevent EL3 after OSG surgery if TEVAR extension is needed in the future.
Literature
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Koizumi S, Nagasawa A, Koyama T. Total aortic arch replacement using frozen elephant trunk technique with J Graft Open Stent Graft for distal aortic arch aneurysm. Gen Thorac Cardiovasc Surg. 2018;66(2):91–4.CrossRef
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Roselli EE, Idrees JJ, Bakaeen FG, Tong MZ, Soltesz EG, Mick S, et al. Evolution of simplified frozen elephant trunk repair for acute DeBakey Type I dissection: midterm outcomes. Ann Thorac Surg. 2018;105(3):749–55.CrossRef
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Pantaleo A, Jafrancesco G, Buia F, Leone A, Lovato L, Russo V, et al. Distal Stent Graft-induced new entry: an emerging complication of endovascular treatment in aortic dissection. Ann Thorac Surg. 2016;102(2):527–32.CrossRef
Metadata
Title
Folding procedure to diminish type 3 endoleakage after open stent graft surgery with TEVAR extension
Authors
Tatushi Onzuka
Kojiro Furukawa
Eiki Tayama
Shigeki Morita
Akira Shiose
Publication date
01-11-2019
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 11/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-019-01115-5

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