Endovascular repair of proximal endograft collapse after treatment for thoracic aortic disease

Journal of Vascular Surgery
M SteinbauerP M Kasprzak

Abstract

We report two cases of proximal endograft collapse with an almost complete aortic occlusion after endovascular tube-graft treatment of thoracic aortic disease (thoracic aneurysm after a type B dissection, traumatic blunt aortic rupture) using the TAG Gore system. Oversizing of endografts is known to cause this complication. In our two cases, however, the oversizing was between 12% and 21.7%, which is less than the allowed oversizing of 25% that is recommended by the manufacturer. This endograft-related complication might be due to a poor alignment of the currently available endografts in highly angulated and tight aortic arches. In the first case, a combined endovascular and open emergent repair procedure achieved a reopening of the proximal endograft by proximal extension (TAG Gore). In the second case, proximal extension was not considered owing to a precise positioning of the endograft distal to the left carotid artery. A balloon-expanding Palmaz stent was therefore placed interventionally in the proximal part of the TAG graft to expand the endograft and to avoid another collapse of the device. This proximal endograft collapse has to be acknowledged as a potentially hazardous complication. We therefore recommend that the pro...Continue Reading

References

May 20, 1999·The New England Journal of Medicine·C A NienaberA Pierangeli
Dec 6, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Allan J KrugerAndrew A Hill
Jun 1, 2004·Circulation Journal : Official Journal of the Japanese Circulation Society·Masaaki KatoShunei Kyo
Jun 26, 2004·Journal of Vascular Surgery·William M Colone
Feb 11, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Beate NeuhauserGustav Fraedrich

❮ Previous
Next ❯

Citations

Jul 12, 2008·Medical & Biological Engineering & Computing·S K LamK W Chow
Sep 1, 2007·Seminars in Interventional Radiology·Bulent ArslanAlan H Matsumoto
Apr 18, 2009·Srpski arhiv za celokupno lekarstvo·Lazar DavidovićSlobodan Cvetković
Jan 1, 2012·Annals of Vascular Diseases·Yuji KanaokaKenjiro Kaneko
Nov 26, 2013·The Annals of Thoracic Surgery·Burkhart ZipfelUNKNOWN RESTORE Investigators
Jan 31, 2012·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Ricardo Fontes-CarvalhoVasco Gama Ribeiro
Nov 3, 2010·Annals of Vascular Surgery·Manuel PirotteRobert Verhelst
Sep 10, 2010·Seminars in Vascular Surgery·Benjamin W Starnes
Oct 6, 2010·Advances in Surgery·David G Neschis, Thomas M Scalea
Jan 1, 2009·Seminars in Thoracic and Cardiovascular Surgery·Thomas G Gleason
Jan 1, 2009·Seminars in Thoracic and Cardiovascular Surgery·Derek R Brinster
Nov 11, 2009·Annals of Vascular Surgery·Valentín FernandezManel Matas
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Ludovic CanaudJean-Pierre Becquemin
Jul 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Daniel Y SzeMichael D Dake
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Francesca UrgnaniVicente Riambau
May 30, 2009·Journal of the American College of Surgeons·Robert J FeezorW Anthony Lee
Jul 29, 2008·Journal of Vascular and Interventional Radiology : JVIR·Eric K HofferJohn M Gemery
Apr 1, 2008·Journal of Vascular and Interventional Radiology : JVIR·Daniel A LeungDerek Brinster
Jun 21, 2007·Seminars in Vascular Surgery·Christoph A NienaberHüseyin Ince
Oct 5, 2015·Computers in Biology and Medicine·Antonino RinaudoSalvatore Pasta
Aug 30, 2008·The Annals of Thoracic Surgery·Masato YamaguchiYutaka Okita
Apr 22, 2009·The Annals of Thoracic Surgery·Harold L LazarPalma Shaw
Jan 15, 2013·Journal of Vascular Surgery·Salvatore PastaDavid A Vorp
Apr 3, 2009·Journal of Vascular Surgery·Miltiadis I MatsagasLampros K Michalis
Jan 27, 2007·Journal of Vascular Surgery·David G NeschisBartley P Griffith
Oct 2, 2007·Journal of Vascular Surgery·Caroline D RoddMichael P Jenkins
Aug 31, 2010·Journal of Vascular Surgery·Pegge Halandras, Ross Milner
Mar 20, 2010·Journal of Vascular Surgery·Karthik KasirajanRonald M Fairman
Dec 16, 2011·Journal of Vascular Surgery·Karthikeshwar KasirajanMichel S Makaroun
Nov 6, 2007·Journal of Vascular Surgery·W Anthony LeeThomas S Huber
Nov 6, 2007·Journal of Vascular Surgery·Michael R GoJae-Sung Cho
Nov 6, 2007·Journal of Vascular Surgery·Paul J RiesenmanBlair A Keagy
Jan 21, 2011·Journal of Vascular Surgery·Rami O TadrosJae-Sung Cho
Jan 3, 2009·Journal of Vascular Surgery·Alejandro PontónJosé M Bernal
Aug 25, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K H OrendL Sunder-Plassmann
Aug 7, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Piotr KasprzakReinhard Kopp
Mar 10, 2009·Journal of Vascular Surgery·W Anthony Lee
Jan 17, 2009·Journal of Vascular Surgery·Beatriz AlvarezManel Matas

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.