Display options
Cite
Kohler C, Wyss TR, Mertineit N, et al. Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm. J Vasc Surg Cases Innov Tech. 2020;7(1):180-182doi: 10.1016/j.jvscit.2020.10.017.
Kohler, C., Wyss, T. R., Mertineit, N., Makaloski, V., & Schmidli, J. (2021). Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm. Journal of vascular surgery cases and innovative techniques, 7(1), 180-182. https://doi.org/10.1016/j.jvscit.2020.10.017
Kohler, Corinne, et al. "Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm." Journal of vascular surgery cases and innovative techniques vol. 7,1 (2021): 180-182. doi: https://doi.org/10.1016/j.jvscit.2020.10.017
Kohler C, Wyss TR, Mertineit N, Makaloski V, Schmidli J. Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm. J Vasc Surg Cases Innov Tech. 2020 Nov 05;7(1):180-182. doi: 10.1016/j.jvscit.2020.10.017. eCollection 2021 Mar. PMID: 33748558; PMCID: PMC7966836.
Copy Download .nbib Format: NLM
Share it on

J Vasc Surg Cases Innov Tech. 2020 Nov 05;7(1):180-182. doi: 10.1016/j.jvscit.2020.10.017. eCollection 2021 Mar.

Emergent open conversion for stent-graft deployment failure in a ruptured thoracic aneurysm.

Journal of vascular surgery cases and innovative techniques

Corinne Kohler, Thomas R Wyss, Nando Mertineit, Vladimir Makaloski, Juerg Schmidli

Affiliations

  1. Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
  2. Division of Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

PMID: 33748558 PMCID: PMC7966836 DOI: 10.1016/j.jvscit.2020.10.017

Abstract

Thoracic endovascular aortic repair (TEVAR) is the standard of care for ruptured thoracic aortic aneurysms. A 92-year-old man had presented in stable condition but with acute severe back pain. Computed tomography revealed a ruptured thoracic aortic aneurysm. TEVAR (Valiant; Medtronic Vascular, Santa Rosa, Calif) into zone 2 with intentional coverage of the left subclavian artery was planned. After release of the stent-graft body, proximal release of the bare springs was impossible. Troubleshooting techniques were applied; but tip capture could not be released. Emergent conversion to open repair was performed. Intraoperative device deployment failure in TEVAR is rare. The findings from the present report have demonstrated the advantages of having in-house cardiac surgery backup available.

© 2020 The Authors.

Keywords: Descending aorta; Ruptured aneurysm; TEVAR; Thoracic aneurysm

References

  1. Eur J Vasc Endovasc Surg. 2017 Jan;53(1):4-52 - PubMed
  2. Ann Thorac Surg. 2015 Sep;100(3):802-8; discussion 808-9 - PubMed
  3. J Thorac Cardiovasc Surg. 2015 Jan;149(1):155-61.e4 - PubMed
  4. J Vasc Surg. 2013 Apr;57(4):899-905.e1 - PubMed
  5. J Endovasc Ther. 2010 Apr;17(2):137-50 - PubMed
  6. J Vasc Surg. 2017 Aug;66(2):335-342 - PubMed
  7. J Vasc Surg. 2008 May;47(5):1094-1098 - PubMed

Publication Types