ArticleJournal of vascular surgery cases and innovative techniques2026
Black candy-plug technique for a large false lumen in a patient with complicated type B aortic dissection.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Persistent false lumen (FL) perfusion after thoracic endovascular aortic repair for type B aortic dissection remains challenging, especially in large FLs. We present successful FL thrombosis using a modified version of the candy-plug-the "black candy-plug" technique. With no re-entry available, the FL was accessed by intravascular ultrasound-guided flap penetration. A modified Excluder aortic extender was deployed in the FL, reinforced with coil-in-plug, and the residual gap was sealed with n-butyl-2-cyanoacrylate, achieving complete FL occlusion. Follow-up computed tomography confirmed stable device position, total FL thrombosis, and favorable early remodeling. The black candy-plug technique offers a practical option for large FLs.
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