{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T10:54:10Z","timestamp":1780052050634,"version":"3.53.1"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:00:00Z","timestamp":1667001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:00:00Z","timestamp":1667001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Aim of this technical note article is to introduce a modified, novel way to custom create a candy-plug (CP) device to endovascularly occlude false lumen. The technique is illustrated by a patient case with significant backflow to false lumen (FL). The patient had already undergone surgical repair of the ascending aorta, aortic arch and subsequent TEVAR procedure down to the ostium of the celiac trunk because of type A aortic dissection, but the descending thoracic aorta continued to dilate due to backflow to the FL from an uncovered tear at the level of the renal arteries.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>We modified a Gore Excluder 36\u201345\u2009mm aortic extender (W. L. Gore &amp; Associates, Inc. Flagstaff, USA) endoprosthesis into a CP device that was subsequently positioned under local anesthesia into the FL of the distal descending thoracic aorta.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In 1\u2009month control the backflow to false lumen had ceased and the aorta had decreased in diameter from 69 to 66\u2009mm, FL from 37 to 34\u2009mm, true lumen (TL) remained the same 32\u2009mm.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>We describe a modified, effective candy-plug technique to occlude retrograde false lumen filling in aortic dissection.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s42155-022-00331-0","type":"journal-article","created":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T10:15:04Z","timestamp":1667038504000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A modified candy-plug technique to occlude false lumen in aortic dissection"],"prefix":"10.1186","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2481-5680","authenticated-orcid":false,"given":"Erik","family":"Palm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antti","family":"Valtola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannu","family":"Manninen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petri","family":"Saari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,29]]},"reference":[{"issue":"6","key":"331_CR1","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1177\/1526602819871613","volume":"26","author":"A Eleshra","year":"2019","unstructured":"Eleshra A, K\u00f6lbel T, Tsilimparis N et al (2019) Candy-plug generation II for false lumen occlusion in chronic aortic dissection: feasibility and early results. J Endovasc Ther 26(6):782\u2013786. https:\/\/doi.org\/10.1177\/1526602819871613","journal-title":"J Endovasc Ther"},{"issue":"4","key":"331_CR2","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1583\/13-4318.1","volume":"20","author":"T K\u00f6lbel","year":"2013","unstructured":"K\u00f6lbel T, Lohrenz C, Kieback A et al (2013) Distal false lumen occlusion in aortic dissection with a homemade extra-large vascular plug: the candy-plug technique. J Endovasc Ther 20(4):484\u2013489. https:\/\/doi.org\/10.1583\/13-4318.1","journal-title":"J Endovasc Ther"},{"issue":"1","key":"331_CR3","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1186\/s13019-017-0647-8","volume":"12","author":"S Kotani","year":"2017","unstructured":"Kotani S, Inoue Y, Kasai M et al (2017) Modified 'candy-plug' technique for chronic type B aortic dissection with aneurysmal dilatation: a case report. 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