Endovascular Rerouting the Errant Aortic Endoprosthesis

The anatomic complexity of aortic dissection remains a challenge in endovascular treatment. The dissection flap may contain defects allowing accidental guidewire passage from one lumen into the other, and inadvertent device placement into the false lumen can occur. The description of this complication and its bailout maneuvers are sparse in the literature. Herein, we describe 7 patients with errant endoprosthesis rerouted with minimally invasive intervention into the true lumen. (c) 2022 by The Society of Thoracic Surgeons

Automated summary

The anatomical complexity of aortic dissection poses challenges in endovascular treatment, including accidental guidewire passage and improper device placement. This study describes 7 patients who underwent minimally invasive intervention to reroute misplaced endoprostheses into the true lumen.