Malpositioned or dislocated aortic endoprostheses: repositioning using percutaneous pull-down maneuvers

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Johannes GörichX Kapfer

Abstract

To present the capabilities and potential complications of 2 percutaneous techniques for repositioning malpositioned or dislodged aortic endografts. Seven male patients (median age 67.9 years, range 59 to 78) required correction of misplaced or dislocated endografts in the thoracic (n = 1) or infrarenal abdominal aorta (n = 6). In 1 patient, an infrarenal bifurcated stent-graft was mistakenly deployed across a renal artery; repositioning was accomplished by tugging caudally on a guidewire placed across the endograft bifurcation and exteriorized from both femoral arteries. An inflated balloon catheter was used to reposition 3 dislocated aortic devices (1 thoracic, 2 infrarenal) and 3 iliac graft limbs that had disconnected from the main graft body 6 to 12 months after implantation. Repositioning maneuvers were successful in all cases, with the devices being moved from 5 to 27 mm (median 7.8 mm). There were no procedure-related complications. Nonsurgical repositioning of misplaced aortic prostheses is technically feasible in individual cases. The risk associated with the procedure, however, cannot yet be evaluated.

References

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Citations

Mar 1, 2009·Seminars in Interventional Radiology·Geert MaleuxSam Heye
Apr 18, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Remi BrouardHervé Rousseau
Aug 9, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Johannes GörichReinhard Pamler
Apr 6, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·José Suárez de LezoMiguel Romero
Jan 20, 2018·Journal of Vascular Surgery Cases and Innovative Techniques·Samuel JessulaPatrick Casey

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