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Updated: Aug 4, 2025

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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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Managing False Lumen Patency in Chronic Thoracic Aortic Dissecting Aneurysms With Coil Embolization.
Yash Pradeep Vaidya1, Naveed Abdul Rahman1, Manu Kannan Arul1
1Department of Surgery, SUNY Upstate Medical University, Syracuse, New York.
Texas Heart Institute Journal
|March 30, 2023
Summary
Coil embolization can manage persistent false lumen pressurization after thoracic endovascular aortic repair for type B aortic dissections. This technique addresses aneurysmal dilation, a complication of negative aortic remodeling.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Thoracic endovascular aortic repair (TEVAR) is the primary treatment for complicated type B aortic dissections.
- Persistent false lumen pressurization post-TEVAR can cause adverse aortic remodeling, leading to aneurysmal dilation.
- Current management strategies require further refinement to address this specific complication.
Approach:
- This study describes a coil embolization technique to treat persistent false lumen pressurization.
- A comprehensive literature review on recent advancements in managing this TEVAR complication is included.
Key Points:
- Coil embolization offers a minimally invasive approach to occlude the false lumen.
- This technique aims to reduce pressure gradients and prevent further aortic dilation.
- Successful coil embolization can promote positive aortic remodeling.
Conclusions:
- Coil embolization is a viable option for managing persistent false lumen pressurization after TEVAR.
- Further research and clinical data are needed to establish long-term outcomes.
- This approach represents a significant development in the endovascular management of complex aortic pathologies.
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