Unexpected complication with the new C3 excluder: cause and treatment

Cardiovascular and Interventional Radiology
Athanasios KatsargyrisE L G Verhoeven

Abstract

The new C3 Gore Excluder delivery system enables both up/downward and rotational repositioning of the device before complete deployment. This contributes to more precise proximal landing and permits facilitation of the contralateral gate cannulation. During separate deployment, the position of the ipsilateral limb can also be readjusted. We have used the modified C3 delivery system in more than 50 patients, and in most cases, we were able to utilize the repositioning options of the device to achieve optimal fixation and sealing. However, we present a case where our attempt to readjust the position of the ipsilateral limb led to upward migration of the main body with coverage of the left renal artery origin. The latter was secured with a bare stent implantation.

References

May 9, 2007·Annals of Vascular Surgery·John A CurciUNKNOWN Excluder Bifurcated Endoprosthesis Investigators

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Citations

Jun 19, 2014·Cardiovascular and Interventional Radiology·Efstratios GeorgakarakosDimitrios Tsetis
Jun 1, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·E L G VerhoevenUNKNOWN GREAT European C3 Module Investigators
Jan 25, 2014·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A KatsargyrisE L G Verhoeven
Apr 24, 2014·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Efstratios GeorgakarakosDimitrios Tsetis
May 26, 2017·Vascular and Endovascular Surgery·Dimitrij KuheljDašmir Nuredini

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