Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion: A word of caution

Publication date

2025-08

Authors

Saouti, Nabil
Hazenberg, Stijn
Geuzebroek, Guillaume S.C.
Verkroost, Michel W.A.
Nauta, Foeke J.
Li, Wilson L.
van Herwaarden, JoostORCID 0000-0003-1165-5179ISNI 0000000393686613
Heijmen, Robin H.

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Advisors

Supervisors

Document Type

Article

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License

cc_by_nc_nd

Abstract

We describe a patient treated with thoracic endovascular aortic repair and false lumen (FL) occluder for chronic type B aortic dissection. We noticed during open surgery for contained rupture that the distal unstented sleeve of the FL occluder crossed from the false into the true lumen through an intimal reentry (used for its introduction into the FL) potentially obstructing true lumen-originating renovisceral arteries.

Keywords

False lumen occluder, Malperfusion, TEVAR, Surgery, Cardiology and Cardiovascular Medicine

Citation

Saouti, N, Hazenberg, S, Geuzebroek, G S C, Verkroost, M W A, Nauta, F J, Li, W L, van Herwaarden, J A & Heijmen, R H 2025, 'Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion : A word of caution', Journal of Vascular Surgery Cases, Innovations and Techniques, vol. 11, no. 4, 101800. https://doi.org/10.1016/j.jvscit.2025.101800