Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta
Type A aortic dissection after thoracic endovascular aortic repair is a life-threatening complication. We present a case of acute type A aortic dissection that occurred after zone 0 stent grafting with a physician-modified inner branch in the ascending aorta. We performed additional endovascular aor...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428725000176 |
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| author | Kosuke Ujihira, MD Reiko Kemmochi, MD Taiichiro Matsumoto, MD Noriyuki Tokunaga, MD, PhD Mitsuaki Matsumoto, MD, PhD |
| author_facet | Kosuke Ujihira, MD Reiko Kemmochi, MD Taiichiro Matsumoto, MD Noriyuki Tokunaga, MD, PhD Mitsuaki Matsumoto, MD, PhD |
| author_sort | Kosuke Ujihira, MD |
| collection | DOAJ |
| description | Type A aortic dissection after thoracic endovascular aortic repair is a life-threatening complication. We present a case of acute type A aortic dissection that occurred after zone 0 stent grafting with a physician-modified inner branch in the ascending aorta. We performed additional endovascular aortic repair using the sandwich technique, which involved placing a chimney stent graft for the brachiocephalic artery and a main aortic stent graft covered by a shortened outer stent graft in the ascending aorta. This technique minimized device diameter, preventing over-dilatation of the true lumen, with sufficient overlap of the stent grafts. |
| format | Article |
| id | doaj-art-81ab5cbe466f4a92be51cc0b9ee20697 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-81ab5cbe466f4a92be51cc0b9ee206972025-02-12T05:31:36ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-01112101735Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aortaKosuke Ujihira, MD0Reiko Kemmochi, MD1Taiichiro Matsumoto, MD2Noriyuki Tokunaga, MD, PhD3Mitsuaki Matsumoto, MD, PhD4Correspondence: Kosuke Ujihira, MD, Tsuyama Central Hospital, 1756 Kawasaki, Tsuyama City, Okayama 708-0841, Japan; Department of Cardiovascular Surgery, Tsuyama Central Hospital, Okayama, JapanDepartment of Cardiovascular Surgery, Tsuyama Central Hospital, Okayama, JapanDepartment of Cardiovascular Surgery, Tsuyama Central Hospital, Okayama, JapanDepartment of Cardiovascular Surgery, Tsuyama Central Hospital, Okayama, JapanDepartment of Cardiovascular Surgery, Tsuyama Central Hospital, Okayama, JapanType A aortic dissection after thoracic endovascular aortic repair is a life-threatening complication. We present a case of acute type A aortic dissection that occurred after zone 0 stent grafting with a physician-modified inner branch in the ascending aorta. We performed additional endovascular aortic repair using the sandwich technique, which involved placing a chimney stent graft for the brachiocephalic artery and a main aortic stent graft covered by a shortened outer stent graft in the ascending aorta. This technique minimized device diameter, preventing over-dilatation of the true lumen, with sufficient overlap of the stent grafts.http://www.sciencedirect.com/science/article/pii/S2468428725000176Type A aortic dissectionEndovascular repairStent graftingPhysician-modified inner branchSandwich technique |
| spellingShingle | Kosuke Ujihira, MD Reiko Kemmochi, MD Taiichiro Matsumoto, MD Noriyuki Tokunaga, MD, PhD Mitsuaki Matsumoto, MD, PhD Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta Journal of Vascular Surgery Cases and Innovative Techniques Type A aortic dissection Endovascular repair Stent grafting Physician-modified inner branch Sandwich technique |
| title | Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta |
| title_full | Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta |
| title_fullStr | Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta |
| title_full_unstemmed | Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta |
| title_short | Sandwich technique for endovascular repair of type A aortic dissection following stent graft with an inner branch in the ascending aorta |
| title_sort | sandwich technique for endovascular repair of type a aortic dissection following stent graft with an inner branch in the ascending aorta |
| topic | Type A aortic dissection Endovascular repair Stent grafting Physician-modified inner branch Sandwich technique |
| url | http://www.sciencedirect.com/science/article/pii/S2468428725000176 |
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