Amplatzer Vascular Plug With Endologix AFX Lining for Visceral Re-Entry Closure in a Patient With Chronic Type B Aortic Dissection.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-08-01 Epub Date: 2022-10-27 DOI:10.1177/15266028221131450

Shuto Watanabe, Yoshiaki Saito, Kenyu Murata, Norihiro Kondo, Masahito Minakawa

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Abstract

Purpose: To demonstrate the efficacy of a combination of Amplatzer vascular plug (AVP2) and Endologix AFX for a visceral entry closure.

Case report: A 70-year-old woman with treated chronic type B aortic dissection was seen to have sac enlargement. An isolated residual tear was observed at the origin of the celiac artery. A 12 mm AVP2 was successfully deployed for the entry closure. Angiography after the plug deployment still demonstrated residual flow to the false lumen. Hence, an Endologix AFX VELA proximal endograft was deployed, covering the AVP membrane and leaving no endoleak.

Conclusion: Deployment of a vascular plug with Endologix AFX lining was efficacious for securing complete closure of an entry tear at the origin of the celiac artery in our patient.

Clinical impact: Vascular plugs are reported to be effective for closing small entries, although their effectiveness is limited when the entry site is not located on the flat intima, or in a high-flow situation. In the presented case, an isolated entry tear at the origin of the celiac artery was successfully closed with a vascular plug following Endologix AFX stent-graft lining of the true lumen.

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带 Endologix AFX 内衬的 Amplatzer 血管塞用于慢性 B 型主动脉夹层患者的内脏再入口闭合。

目的：证明将 Amplatzer 血管栓塞 (AVP2) 和 Endologix AFX 组合用于内脏入口闭合的疗效：病例报告：一位 70 岁的妇女患有慢性 B 型主动脉夹层，经治疗后发现囊肿增大。病例报告：一名 70 岁的慢性 B 型主动脉夹层患者在接受治疗后，发现囊肿增大，腹腔动脉起源处有孤立的残余撕裂。成功部署了一个 12 毫米的 AVP2 用于入口闭合。塞子展开后的血管造影仍显示假腔有残余血流。因此部署了 Endologix AFX VELA 近端内植物，覆盖了 AVP 膜，没有留下内漏：结论：在我们的患者中，使用带有 Endologix AFX 内膜的血管塞可有效确保完全闭合腹腔动脉起源处的入口撕裂：临床影响：据报道，血管栓塞可有效闭合小的入口，但如果入口部位不在平坦的内膜上或在高流量情况下，其效果就会受到限制。在本病例中，在 Endologix AFX 支架移植物衬垫真腔后，使用血管塞成功关闭了腹腔动脉起源处的孤立入口撕裂。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.