TY - JOUR
T1 - Looping wire technique to facilitate true lumen wiring during TEVAR in type B aortic dissection with aneurysmal degeneration
T2 - A case report
AU - Adiarto, Suko
AU - Siddiq, Taofan
AU - Indriani, Suci
AU - Andriantoro, Hananto
AU - Dakota, Iwan
N1 - Publisher Copyright:
© 2022
PY - 2022/2
Y1 - 2022/2
N2 - Introduction and importance: Wiring true lumen during Thoracic Endovascular Aortic Repair (TEVAR) is sometimes difficult in complicated Type B Aortic Dissection (TBAD). Case presentation: We treated a TBAD patient with large false lumen, compressed true lumen and multiple entries. After repeated wire misdirection to false lumen, we tried a new technique in which the wire in the false lumen was looped after entrance to true lumen and pushed distally. The looped wire was then used as guide to advance a second wire to the ascending aorta. TEVAR could then be completed with good result. Discussion: Wiring the true lumen might be one of the most challenging steps during TEVAR in complicated TBAD. Several methods have been used to overcome the problems, but the cost and availability might be a problem in some countries. The looping wire technique may serve as an alternative method of guiding the process of wiring the true lumen during complicated TEVAR. Conclusion: Looping wire technique can be used as an alternative method to facilitate true lumen wiring during TEVAR.
AB - Introduction and importance: Wiring true lumen during Thoracic Endovascular Aortic Repair (TEVAR) is sometimes difficult in complicated Type B Aortic Dissection (TBAD). Case presentation: We treated a TBAD patient with large false lumen, compressed true lumen and multiple entries. After repeated wire misdirection to false lumen, we tried a new technique in which the wire in the false lumen was looped after entrance to true lumen and pushed distally. The looped wire was then used as guide to advance a second wire to the ascending aorta. TEVAR could then be completed with good result. Discussion: Wiring the true lumen might be one of the most challenging steps during TEVAR in complicated TBAD. Several methods have been used to overcome the problems, but the cost and availability might be a problem in some countries. The looping wire technique may serve as an alternative method of guiding the process of wiring the true lumen during complicated TEVAR. Conclusion: Looping wire technique can be used as an alternative method to facilitate true lumen wiring during TEVAR.
KW - Aneurysmal degeneration
KW - Case report
KW - Looping wire technique
KW - TEVAR
KW - True lumen wiring
KW - Type B aortic dissection
UR - http://www.scopus.com/inward/record.url?scp=85123063538&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2022.106776
DO - 10.1016/j.ijscr.2022.106776
M3 - Article
AN - SCOPUS:85123063538
VL - 91
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
SN - 2210-2612
M1 - 106776
ER -