Scheduled re-entry coil embolization before entry coverage of thoracic endovascular stent grafting for aneurysmal chronic type B aortic dissection

Abstract

Endovascular treatment for type B dissections is controversial. This therapy aims at complete occlusion and thrombosis of the false lumen of the aneurysm. We report a case where cessation of flow was achieved using covered stent grafts in conjunction with coil embolization of the false lumen. The use of scheduled coil re-entry embolization of the false lumen before endovascular entry coverage using a stent graft is a novel approach that could become a treatment option for aneurysmal type B dissection. © 2012 The Author 2012. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.