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Published on: February 13, 2026

Coil-assisted false lumen thrombosis in complicated chronic type B dissection

Eric Hager1, Neil Moudgill, Adam Lipman

  • 1Division of Vascular Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA. erichager777@yahoo.com

Journal of Vascular Surgery
|July 23, 2008
PubMed

Insights

Surgical intervention for complicated Type B aortic dissections can be enhanced by using covered stent grafts and coil embolization. This novel approach aids in excluding and thrombosing the false lumen, improving treatment outcomes.

Area of Science:

  • Cardiovascular Surgery
  • Endovascular Therapy
  • Aortic Disease

Background:

  • Type B aortic dissections require surgical intervention when complicated by pain, malperfusion, or aneurysm expansion.
  • Successful treatment hinges on excluding and promoting thrombosis within the aneurysm's false lumen.

Observation:

  • A case is presented involving a complicated Type B aortic dissection.
  • The endovascular approach utilized covered stent grafts and coil embolization of the false lumen.

Findings:

  • Cessation of blood flow within the false lumen was achieved using this combined technique.
  • Coil embolization within the false lumen represents a novel adjunctive method.

Implications:

  • This technique offers a potentially valuable adjunct for endovascular treatment of complicated Type B aortic dissections.
  • Further research may validate this approach for improving patient outcomes in aortic dissection management.

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