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Under intravascular ultrasound (IVUS) guidance, the dissection flap was punctured from the true lumen into the false lumen (FL) approximately 2 cm distal to the caudal end of the thoracic stent graft, and a Radifocus guidewire was advanced into the FL (A) . The fenestration was then dilated using an 8 mm × 4 cm balloon catheter (B) . The modified Excluder aortic extender (Ex-cuff) was deployed at the distal level of the thoracic stent graft (C) . Subsequently, a 16-mm <t>Amplatzer</t> Vascular Plug I, preloaded with a 2.2F microcatheter was deployed at the waist of the modified Ex-cuff (D) . The microcatheter was then withdrawn into the plug, and four detachable coils were placed within the plug (E and F) . Angiography revealed persistent perigraft leakage around the Ex-cuff (G) . Therefore, 33% n-butyl-2-cyanoacrylate (NBCA) was slowly injected, achieving complete occlusion (H) ( arrowhead , coil-in-plug; arrow , NBCA-Lipiodol). Completion angiography confirmed complete elimination of FL perfusion in the thoracic aortic segment (I) .
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Under intravascular ultrasound (IVUS) guidance, the dissection flap was punctured from the true lumen into the false lumen (FL) approximately 2 cm distal to the caudal end of the thoracic stent graft, and a Radifocus guidewire was advanced into the FL (A) . The fenestration was then dilated using an 8 mm × 4 cm balloon catheter (B) . The modified Excluder aortic extender (Ex-cuff) was deployed at the distal level of the thoracic stent graft (C) . Subsequently, a 16-mm <t>Amplatzer</t> Vascular Plug I, preloaded with a 2.2F microcatheter was deployed at the waist of the modified Ex-cuff (D) . The microcatheter was then withdrawn into the plug, and four detachable coils were placed within the plug (E and F) . Angiography revealed persistent perigraft leakage around the Ex-cuff (G) . Therefore, 33% n-butyl-2-cyanoacrylate (NBCA) was slowly injected, achieving complete occlusion (H) ( arrowhead , coil-in-plug; arrow , NBCA-Lipiodol). Completion angiography confirmed complete elimination of FL perfusion in the thoracic aortic segment (I) .
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amplatzer plugs  (Abbott Laboratories)
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Under intravascular ultrasound (IVUS) guidance, the dissection flap was punctured from the true lumen into the false lumen (FL) approximately 2 cm distal to the caudal end of the thoracic stent graft, and a Radifocus guidewire was advanced into the FL (A) . The fenestration was then dilated using an 8 mm × 4 cm balloon catheter (B) . The modified Excluder aortic extender (Ex-cuff) was deployed at the distal level of the thoracic stent graft (C) . Subsequently, a 16-mm <t>Amplatzer</t> Vascular Plug I, preloaded with a 2.2F microcatheter was deployed at the waist of the modified Ex-cuff (D) . The microcatheter was then withdrawn into the plug, and four detachable coils were placed within the plug (E and F) . Angiography revealed persistent perigraft leakage around the Ex-cuff (G) . Therefore, 33% n-butyl-2-cyanoacrylate (NBCA) was slowly injected, achieving complete occlusion (H) ( arrowhead , coil-in-plug; arrow , NBCA-Lipiodol). Completion angiography confirmed complete elimination of FL perfusion in the thoracic aortic segment (I) .
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amplatzer plug  (St Jude Medical)
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Under intravascular ultrasound (IVUS) guidance, the dissection flap was punctured from the true lumen into the false lumen (FL) approximately 2 cm distal to the caudal end of the thoracic stent graft, and a Radifocus guidewire was advanced into the FL (A) . The fenestration was then dilated using an 8 mm × 4 cm balloon catheter (B) . The modified Excluder aortic extender (Ex-cuff) was deployed at the distal level of the thoracic stent graft (C) . Subsequently, a 16-mm <t>Amplatzer</t> Vascular Plug I, preloaded with a 2.2F microcatheter was deployed at the waist of the modified Ex-cuff (D) . The microcatheter was then withdrawn into the plug, and four detachable coils were placed within the plug (E and F) . Angiography revealed persistent perigraft leakage around the Ex-cuff (G) . Therefore, 33% n-butyl-2-cyanoacrylate (NBCA) was slowly injected, achieving complete occlusion (H) ( arrowhead , coil-in-plug; arrow , NBCA-Lipiodol). Completion angiography confirmed complete elimination of FL perfusion in the thoracic aortic segment (I) .
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(A) Final deployment of the physician-modified candy plug (CP) ( red arrows indicate the proximal and distal struts of the modified stent graft). An 18-mm <t>Amplatzer</t> Vascular Plug II is positioned within its constrained central lumen ( blue arrows indicate the proximal and distal nitinol mesh lobes). (B) Complete thrombosis of the false lumen (FL) with cessation of retrograde flow above the CP devices. The vascular plug within the physician-modified CP is indicated by the blue arrow . (C) Volume-rendering technique reconstruction demonstrating the thoracic endovascular repair (TEVAR) and CP devices.
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trufit cb plug  (Smith & Nephew)
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(A) Final deployment of the physician-modified candy plug (CP) ( red arrows indicate the proximal and distal struts of the modified stent graft). An 18-mm <t>Amplatzer</t> Vascular Plug II is positioned within its constrained central lumen ( blue arrows indicate the proximal and distal nitinol mesh lobes). (B) Complete thrombosis of the false lumen (FL) with cessation of retrograde flow above the CP devices. The vascular plug within the physician-modified CP is indicated by the blue arrow . (C) Volume-rendering technique reconstruction demonstrating the thoracic endovascular repair (TEVAR) and CP devices.
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amplatzer plug  (Abbott Laboratories)
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(A) Final deployment of the physician-modified candy plug (CP) ( red arrows indicate the proximal and distal struts of the modified stent graft). An 18-mm <t>Amplatzer</t> Vascular Plug II is positioned within its constrained central lumen ( blue arrows indicate the proximal and distal nitinol mesh lobes). (B) Complete thrombosis of the false lumen (FL) with cessation of retrograde flow above the CP devices. The vascular plug within the physician-modified CP is indicated by the blue arrow . (C) Volume-rendering technique reconstruction demonstrating the thoracic endovascular repair (TEVAR) and CP devices.
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Biosentry Inc biosentry hydrogel plug
(A) Final deployment of the physician-modified candy plug (CP) ( red arrows indicate the proximal and distal struts of the modified stent graft). An 18-mm <t>Amplatzer</t> Vascular Plug II is positioned within its constrained central lumen ( blue arrows indicate the proximal and distal nitinol mesh lobes). (B) Complete thrombosis of the false lumen (FL) with cessation of retrograde flow above the CP devices. The vascular plug within the physician-modified CP is indicated by the blue arrow . (C) Volume-rendering technique reconstruction demonstrating the thoracic endovascular repair (TEVAR) and CP devices.
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Image Search Results


Under intravascular ultrasound (IVUS) guidance, the dissection flap was punctured from the true lumen into the false lumen (FL) approximately 2 cm distal to the caudal end of the thoracic stent graft, and a Radifocus guidewire was advanced into the FL (A) . The fenestration was then dilated using an 8 mm × 4 cm balloon catheter (B) . The modified Excluder aortic extender (Ex-cuff) was deployed at the distal level of the thoracic stent graft (C) . Subsequently, a 16-mm Amplatzer Vascular Plug I, preloaded with a 2.2F microcatheter was deployed at the waist of the modified Ex-cuff (D) . The microcatheter was then withdrawn into the plug, and four detachable coils were placed within the plug (E and F) . Angiography revealed persistent perigraft leakage around the Ex-cuff (G) . Therefore, 33% n-butyl-2-cyanoacrylate (NBCA) was slowly injected, achieving complete occlusion (H) ( arrowhead , coil-in-plug; arrow , NBCA-Lipiodol). Completion angiography confirmed complete elimination of FL perfusion in the thoracic aortic segment (I) .

Journal: Journal of Vascular Surgery Cases, Innovations and Techniques

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

doi: 10.1016/j.jvscit.2026.102212

Figure Lengend Snippet: Under intravascular ultrasound (IVUS) guidance, the dissection flap was punctured from the true lumen into the false lumen (FL) approximately 2 cm distal to the caudal end of the thoracic stent graft, and a Radifocus guidewire was advanced into the FL (A) . The fenestration was then dilated using an 8 mm × 4 cm balloon catheter (B) . The modified Excluder aortic extender (Ex-cuff) was deployed at the distal level of the thoracic stent graft (C) . Subsequently, a 16-mm Amplatzer Vascular Plug I, preloaded with a 2.2F microcatheter was deployed at the waist of the modified Ex-cuff (D) . The microcatheter was then withdrawn into the plug, and four detachable coils were placed within the plug (E and F) . Angiography revealed persistent perigraft leakage around the Ex-cuff (G) . Therefore, 33% n-butyl-2-cyanoacrylate (NBCA) was slowly injected, achieving complete occlusion (H) ( arrowhead , coil-in-plug; arrow , NBCA-Lipiodol). Completion angiography confirmed complete elimination of FL perfusion in the thoracic aortic segment (I) .

Article Snippet: Subsequently, a 16-mm Amplatzer Vascular Plug I (Abbott), preloaded with a 2.2F-microcatheter (Coiling Support, HI-LEX Co) was delivered through a 6F guiding catheter (Destination; Terumo Medical Co) and deployed at the waist of the modified Ex-cuff ( , D ).

Techniques: Dissection, Modification, Injection

(A) Final deployment of the physician-modified candy plug (CP) ( red arrows indicate the proximal and distal struts of the modified stent graft). An 18-mm Amplatzer Vascular Plug II is positioned within its constrained central lumen ( blue arrows indicate the proximal and distal nitinol mesh lobes). (B) Complete thrombosis of the false lumen (FL) with cessation of retrograde flow above the CP devices. The vascular plug within the physician-modified CP is indicated by the blue arrow . (C) Volume-rendering technique reconstruction demonstrating the thoracic endovascular repair (TEVAR) and CP devices.

Journal: Journal of Vascular Surgery Cases, Innovations and Techniques

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

doi: 10.1016/j.jvscit.2026.102175

Figure Lengend Snippet: (A) Final deployment of the physician-modified candy plug (CP) ( red arrows indicate the proximal and distal struts of the modified stent graft). An 18-mm Amplatzer Vascular Plug II is positioned within its constrained central lumen ( blue arrows indicate the proximal and distal nitinol mesh lobes). (B) Complete thrombosis of the false lumen (FL) with cessation of retrograde flow above the CP devices. The vascular plug within the physician-modified CP is indicated by the blue arrow . (C) Volume-rendering technique reconstruction demonstrating the thoracic endovascular repair (TEVAR) and CP devices.

Article Snippet: The constrained central lumen of the physician-modified CP was plugged with an 18-mm Amplatzer Vascular Plug II (Abbott Vascular) ( , A ).

Techniques: Modification