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Vendramin I, Piani D, Lechiancole A, Sponga S, Sponza M, Puppato M, Bortolotti U, Livi U. Late complications of the Djumbodis system in patients with type A acute aortic dissection. Interact Cardiovasc Thorac Surg 2020; 31:704-707. [DOI: 10.1093/icvts/ivaa178] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 07/15/2020] [Accepted: 07/26/2020] [Indexed: 11/14/2022] Open
Abstract
Abstract
The Djumbodis system is a metallic stent designed to prevent false lumen dilatation after repair of acute aortic dissection. Although the exact number of Djumbodis stents inserted worldwide could not be ascertained from a review of the literature, available data indicate 9 specific device-related complications from 4 patient series and 3 case reports: stent deformity or fracture (4), progressive enlargement of the distal false lumen (3) and distal pseudoaneurysm (1); a further patient with pseudoaneurysm of the distal suture line is added from personal observation. The present review confirms the inability of the Djumbodis stent to provide reduction and/or elimination of the false lumen after repair of type A dissection, highlighting peculiar device-related complications. Current survivors with a Djumbodis stent should undergo close follow-up to prevent possible catastrophic events due to device failure.
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Affiliation(s)
- Igor Vendramin
- Cardiothoracic Department, University Hospital, Udine, Italy
| | - Daniela Piani
- Cardiothoracic Department, University Hospital, Udine, Italy
| | | | - Sandro Sponga
- Cardiothoracic Department, University Hospital, Udine, Italy
| | - Massimo Sponza
- Department of Radiology, University Hospital, Udine, Italy
| | | | | | - Ugolino Livi
- Cardiothoracic Department, University Hospital, Udine, Italy
- Department of Medical Area (DAME), University of Udine, Udine, Italy
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