{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:48:44Z","timestamp":1753876124820,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Thoracic endovascular aortic repair (TEVAR) has been widely introduced. However, unestablished transfemoral approach due to true lumen obliteration disables endovascular option.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 74-year-old male with a history of 15-year-ago type B aortic dissection presented with chronic bilateral lower extremity claudication. CT angiography revealed that a large entry tear was located at distal to the left subclavian artery. The thoracic aneurysmal degeneration progressed and eventually required repair. True lumen of infrarenal aorta to bilateral common iliac arteries was totally collapsed by false lumen, and the re-entry tear was open at external iliac artery. Initially, we performed recanalization to the collapsed true lumen. Bidirectional approach was taken from right brachial and bifemoral arteries. The covered endovascular reconstruction of aortic bifurcation (CERAB) technique and double D-shape moulding technique (DDMT) was performed to create covered stent configuration. As secondary treatment, 1-debranching TEVAR with axillary artery bypass was successfully performed by utilizing femoral approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case demonstrated feasibility of two-stage endovascular therapy for thoracic aneurysmal degeneration concomitant with true lumen obliteration. This combined technique of CERAB and DDMT was absolutely effective to minimize type \u2162 endoleak in infrarenal segment. Hybrid endovascular treatment offered minimally invasive therapy to the patient.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae068","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T19:00:35Z","timestamp":1706641235000},"source":"Crossref","is-referenced-by-count":0,"title":["Hybrid endovascular treatment for complicated aortic dissection concomitant with true lumen obliteration: a case report"],"prefix":"10.1093","volume":"8","author":[{"given":"Kuniyasu","family":"Ikeoka","sequence":"first","affiliation":[{"name":"Cardiovascular Division, NHO Osaka National Hospital , 2-1-14 Hoenzaka, Chuo-ku, Osaka, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Nishi","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgical Division, NHO Osaka National Hospital , 2-1-14 Hoenzaka, Chuo-ku, Osaka, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0514-106X","authenticated-orcid":false,"given":"Yasunori","family":"Ueda","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, NHO Osaka National Hospital , 2-1-14 Hoenzaka, Chuo-ku, Osaka, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruya","family":"Yamane","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, NHO Osaka National Hospital , 2-1-14 Hoenzaka, Chuo-ku, Osaka, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasushi","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, NHO Osaka National Hospital , 2-1-14 Hoenzaka, Chuo-ku, Osaka, Osaka 540-0006 , Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"2024021013292917800_ytae068-B1","doi-asserted-by":"crossref","first-page":"II256","DOI":"10.1161\/01.CIR.0000138386.48852.b6","article-title":"Growth rate of aortic diameter in patients with type B aortic dissection during the chronic phase","volume":"110","author":"Sueyoshi","year":"2004","journal-title":"Circulation"},{"key":"2024021013292917800_ytae068-B2","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.athoracsur.2007.10.099","article-title":"Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts","volume":"85","author":"Svensson","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"2024021013292917800_ytae068-B3","first-page":"II312","article-title":"Clinical profiles and outcomes of acute type B aortic dissection in the current era: lessons from the International Registry of Aortic Dissection (IRAD)","volume":"9","author":"Suzuki","year":"2003","journal-title":"Circulation"},{"key":"2024021013292917800_ytae068-B4","first-page":"351","article-title":"Lower limb malperfusion in type B aortic dissection: a systematic review","volume":"3","author":"Gargiulo","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"key":"2024021013292917800_ytae068-B5","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1016\/j.jvs.2017.09.015","article-title":"Three-year outcome of the covered endovascular reconstruction of the aortic bifurcation technique for aortoiliac occlusive disease","volume":"67","author":"Taeymans","year":"2018","journal-title":"J Vasc Surg"},{"key":"2024021013292917800_ytae068-B6","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1016\/j.jvs.2013.12.026","article-title":"Geometrical consequences of kissing stents and the covered endovascular reconstruction of the aortic bifurcation configuration in an in vitro model for endovascular reconstruction of aortic bifurcation","volume":"61","author":"Jebbink E","year":"2015","journal-title":"J Vasc Surg"},{"key":"2024021013292917800_ytae068-B7","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.jccase.2020.05.024","article-title":"Treatment for aortoiliac bifurcation disease by balloon-expandable covered stent; 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