Use of a physician-modified candy plug to rescue gutter leak arising from a collapsed candy plug

Journal of Vascular Surgery Cases and Innovative Techniques 2026 Open access

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Authors: Jun Kiat Ho, Jasmine ME Chua, Victor T. T. Chao, Zameer Abdul Aziz, Sivaraj Pillai Govindasamy, Kiang Hiong Tay
DOI: 10.1016/j.jvscit.2026.102175
Cited by: 0
References: 10

Abstract

The candy-plug (CP) technique is an option to achieve false lumen occlusion and aortic remodeling in chronic aortic dissection. Gutter leaks are uncommon complications that may necessitate further endovascular or even surgical treatment. We describe a successful reintervention strategy to occlude a massive gutter leak arising from a collapsed, commercially custom-made Cook CP III, achieved using a physician-modified CP device and thereby avoiding surgical repair.

Fields of Study & Subjects

Aortic Disease and Treatment Approaches Aortic aneurysm repair treatments Infectious Aortic and Vascular Conditions

Publication details

Journal / source
Journal of Vascular Surgery Cases and Innovative Techniques
Volume
12
Issue
3
Pages
102175–102175
Publication date
4 February 2026
Language
EN