Introduction: The management of the false lumen (FL) when dealing with aortic dissection is a crucial aspect since inducing its thrombosis is necessary in order to achieve aortic remodeling. One of the pitfalls of endovascular treatment of aortic dissection (AD) is retrograde distal FL perfusion and pressurization, which prevents FL thrombosis and thus aortic remodeling, while being associated with aneurysmal degeneration of the FL and poor long-term outcomes. Areas Covered: Currently, there is no CE/FDA approved device for FL closure, however different techniques and devices have been proposed to overcome this challenge, the most known of which is the Candy Plug (CP). This review aims to describe the CP device, its implantation technique, and the available data in the literature (PubMed, Cochrane, and EMBASE databases; last queried, December 31, 2023). Expert Opinions: While the treatment of AD remains technically challenging, the use of the CP technique to close any distal FL reperfusion proved to be feasible and safe with excellent rates of both technical and clinical success. Furthermore, recent studies have shown a quick learning curve with this technique.
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NYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Beth Israel Deaconess Med Ctr, Dept Surg, Div Vasc & Endovasc Surg, 330 Brookline Ave, Boston, MA 02215 USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Rokosh, Rae S.
Chen, Stacey
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NYU Langone Hlth, Dept Cardiothorac Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Chen, Stacey
Cayne, Neal
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NYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Cayne, Neal
Siracuse, Jeffrey J.
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Boston Med Ctr, Dept Surg, Div Vasc Surg, Boston, MA USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Siracuse, Jeffrey J.
Patel, Virendra
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Columbia Univ, Dept Surg, Irving Med Ctr, Div Vasc Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Patel, Virendra
Maldonado, Thomas S.
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NYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Maldonado, Thomas S.
Rockman, Caron
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NYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Rockman, Caron
Barfield, Michael E.
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NYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Barfield, Michael E.
Jacobowitz, Glenn
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NYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA
Jacobowitz, Glenn
Garg, Karan
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NYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USANYU Langone Hlth, Dept Surg, Div Vasc Surg, New York, NY USA