The Ascyrus Medical Dissection Stent: A One-Fits-All Strategy for the Treatment of Acute Type A Aortic Dissection?
Leonard PittsMichael C MoonMaximilian LuehrMarkus KoflerMatteo MontagnerSimon SündermannSemih BuzChristoph StarckVolkmar FalkJörg KempfertPublished in: Journal of clinical medicine (2024)
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.
Keyphrases
- aortic dissection
- healthcare
- minimally invasive
- randomized controlled trial
- systematic review
- palliative care
- cell cycle
- risk assessment
- quality improvement
- climate change
- aortic valve
- intensive care unit
- extracorporeal membrane oxygenation
- pain management
- left ventricular
- atrial fibrillation
- replacement therapy
- liver failure