The Ascyrus Medical Dissection Stent: A One-Fits-All Strategy for the Treatment of Acute Type A Aortic Dissection?
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Date
2024-05-01
Publication Type
Review Article
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yes
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Abstract
The treatment of DeBakey type I aortic dissection remains a major challenge in the field of aortic surgery. To upgrade the standard of care hemiarch replacement, a novel device called an “Ascyrus Medical Dissection Stent” (AMDS) is now available. This hybrid device composed of a proximal polytetrafluoroethylene cuff and a distal non-covered nitinol stent is inserted into the aortic arch and the descending thoracic aorta during hypothermic circulatory arrest in addition to hemiarch replacement. Due to its specific design, it may result in a reduced risk for distal anastomotic new entries, the effective restoration of branch vessel malperfusion and positive aortic remodeling. In this narrative review, we provide an overview about the indications and the technical use of the AMDS. Additionally, we summarize the current available literature and discuss potential pitfalls in the application of the AMDS regarding device failure and aortic re-intervention.
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published
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Journal / series
Volume
13 (9)
Pages / Article No.
2593
Publisher
MDPI
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Edition / version
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Software
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Date collected
Date created
Subject
acute type A aortic dissection; aorta; Ascyrus Medical Dissection Stent; endovascular; malperfusion; frozen elephant trunk; thoracic endovascular aortic repair
Organisational unit
09667 - Falk, Volkmar (ehemalig) / Falk, Volkmar (former)