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

Nabil Saouti; Stijn Hazenberg; Guillaume S.C. Geuzebroek; Michel W.A. Verkroost; Foeke J. Nauta; Wilson L. Li; Josst A. van Herwaarden; Robin H. Heijmen

doi:10.1016/j.jvscit.2025.101800

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

Nabil Saouti^*, Stijn Hazenberg, Guillaume S.C. Geuzebroek, Michel W.A. Verkroost, Foeke J. Nauta, Wilson L. Li, Josst A. van Herwaarden, Robin H. Heijmen

^*Corresponding author for this work

Department of Vascular Surgery

Research output: Contribution to journal › Article › Academic › peer-review

2 Downloads (Pure)

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.

Original language	English
Article number	101800
Journal	Journal of Vascular Surgery Cases, Innovations and Techniques
Volume	11
Issue number	4
DOIs	https://doi.org/10.1016/j.jvscit.2025.101800
Publication status	Published - Aug 2025

Keywords

False lumen occluder
Malperfusion
TEVAR

Access to Document

10.1016/j.jvscit.2025.101800Licence: CC BY-NC-ND

Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion: A word of cautionFinal published version, 972 KBLicence: CC BY-NC-ND

Cite this

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, 11(4), Article 101800. https://doi.org/10.1016/j.jvscit.2025.101800

@article{627abf6f399748b3a23ac8b7d86648b5,

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

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",

author = "Nabil Saouti and Stijn Hazenberg and Geuzebroek, \{Guillaume S.C.\} and Verkroost, \{Michel W.A.\} and Nauta, \{Foeke J.\} and Li, \{Wilson L.\} and \{van Herwaarden\}, \{Josst A.\} and Heijmen, \{Robin H.\}",

note = "Publisher Copyright: {\textcopyright} 2025 The Authors",

year = "2025",

month = aug,

doi = "10.1016/j.jvscit.2025.101800",

language = "English",

volume = "11",

journal = "Journal of Vascular Surgery Cases, Innovations and Techniques",

issn = "2468-4287",

number = "4",

}

Saouti, N, Hazenberg, S, Geuzebroek, GSC, Verkroost, MWA, Nauta, FJ, Li, WL, van Herwaarden, JA & Heijmen, RH 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

Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion: A word of caution. / Saouti, Nabil; Hazenberg, Stijn; Geuzebroek, Guillaume S.C. et al.
In: Journal of Vascular Surgery Cases, Innovations and Techniques, Vol. 11, No. 4, 101800, 08.2025.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Distal sleeve of false lumen occluder displacement through a proximal intimal re-entry potentially causing visceral malperfusion

T2 - A word of caution

AU - Saouti, Nabil

AU - Hazenberg, Stijn

AU - Geuzebroek, Guillaume S.C.

AU - Verkroost, Michel W.A.

AU - Nauta, Foeke J.

AU - Li, Wilson L.

AU - van Herwaarden, Josst A.

AU - Heijmen, Robin H.

PY - 2025/8

Y1 - 2025/8

N2 - 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.

AB - 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.

KW - False lumen occluder

KW - Malperfusion

KW - TEVAR

UR - https://www.scopus.com/pages/publications/105004078608

U2 - 10.1016/j.jvscit.2025.101800

DO - 10.1016/j.jvscit.2025.101800

M3 - Article

AN - SCOPUS:105004078608

SN - 2468-4287

VL - 11

JO - Journal of Vascular Surgery Cases, Innovations and Techniques

JF - Journal of Vascular Surgery Cases, Innovations and Techniques

IS - 4

M1 - 101800

ER -

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

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this