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Updated: Jan 27, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Distal Stentgraft-induced New Entry Developed after Surgery for Aortic Dissection]
Takashi Otani1, Maiko Miyoshi, Masataka Hirata
1Department of Endovascular Surgery, Tokushima Red Cross Hospital, Komatsushima,Japan.
Abstract:
We experienced 2 cases with distal stentgraft-induced new entry (distal SINE) after thoracic endovascular aortic repair( TEVAR) for type B aortic dissection and 1 case after total arch replacement and frozen elephant trunk method for type A dissection. We successfully performed additional TEVAR in all cases. If the stent graft is bent at deployment, distal SINE may occur on the great curvature side of the aorta by the spring back force. Therefore, we must pay attention to appropriate device selection, and even when remodeling of the aorta is good, meticulous follow-up is necessary.
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