Black candy-plug technique for a large false lumen in a patient with complicated type B aortic dissection

Journal of Vascular Surgery Cases and Innovative Techniques 2026 Open access

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Authors: Yukihisa Ogawa, Shunsuke Kamei, Hidekazu Furuya, Ryuichi Tamimoto, Akiyoshi Yamamoto, Hiroyuki Nishi
DOI: 10.1016/j.jvscit.2026.102212
Cited by: 0
References: 10

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.

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
102212–102212
Publication date
5 March 2026
Language
EN