Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection

We describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen...

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Main Authors: Nabil Saouti, MD, PhD, Guillaume S.C. Geuzebroek, MD, PhD, Sjoerd F.M. Jenniskens, MD, Robin H. Heijmen, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428724002478
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author Nabil Saouti, MD, PhD
Guillaume S.C. Geuzebroek, MD, PhD
Sjoerd F.M. Jenniskens, MD
Robin H. Heijmen, MD, PhD
author_facet Nabil Saouti, MD, PhD
Guillaume S.C. Geuzebroek, MD, PhD
Sjoerd F.M. Jenniskens, MD
Robin H. Heijmen, MD, PhD
author_sort Nabil Saouti, MD, PhD
collection DOAJ
description We describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen flow. This technique may be an alternative and more complete when compared with a frozen elephant trunk procedure at onset. Additionally, favorable remodeling of the entire thoracic aorta is observed.
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institution Kabale University
issn 2468-4287
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publishDate 2025-02-01
publisher Elsevier
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series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-33bef5787bb745dda1c52c263beecb302025-01-20T04:17:43ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-02-01111101663Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissectionNabil Saouti, MD, PhD0Guillaume S.C. Geuzebroek, MD, PhD1Sjoerd F.M. Jenniskens, MD2Robin H. Heijmen, MD, PhD3Department of Cardio-Thoracic Surgery, Radboud Umc, Nijmegen, The Netherlands; Correspondence: Nabil Saouti, MD, PhD, Department of Cardio-Thoracic Surgery, Radboud University Medical Center, Geert Grooteplein Zuid 10, Postbus 9101, Nijmegen 6525 GA, The NetherlandsDepartment of Cardio-Thoracic Surgery, Radboud Umc, Nijmegen, The NetherlandsDepartment of Radiology, Radboud Umc, Nijmegen, The NetherlandsDepartment of Cardio-Thoracic Surgery, Radboud Umc, Nijmegen, The NetherlandsWe describe a case of retrograde acute type A aortic dissection approached by a hybrid, staged approach consisting of a zone 2 arch replacement and completion thoracic endovascular aortic repair procedure combined with distal balloon-assisted stent graft dilatation to prevent retrograde false lumen flow. This technique may be an alternative and more complete when compared with a frozen elephant trunk procedure at onset. Additionally, favorable remodeling of the entire thoracic aorta is observed.http://www.sciencedirect.com/science/article/pii/S2468428724002478Retrograde type A dissectionZone 2 arch replacementStaged hybrid treatmentTEVARRemodeling
spellingShingle Nabil Saouti, MD, PhD
Guillaume S.C. Geuzebroek, MD, PhD
Sjoerd F.M. Jenniskens, MD
Robin H. Heijmen, MD, PhD
Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection
Journal of Vascular Surgery Cases and Innovative Techniques
Retrograde type A dissection
Zone 2 arch replacement
Staged hybrid treatment
TEVAR
Remodeling
title Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection
title_full Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection
title_fullStr Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection
title_full_unstemmed Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection
title_short Staged, hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type A aortic dissection
title_sort staged hybrid approach by zone 2 arch replacement and completion thoracic endoprosthesis in retrograde acute type a aortic dissection
topic Retrograde type A dissection
Zone 2 arch replacement
Staged hybrid treatment
TEVAR
Remodeling
url http://www.sciencedirect.com/science/article/pii/S2468428724002478
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