Bail-out technique to detach a locked Viabahn endoprosthesis in branched thoracic endovascular aortic repair

Wolf Eilenberg, MD, PhD; Giuseppe Panuccio, MD, PhD; Fiona Rohlffs, MD, PhD; Ahmed S. Eleshra, MD, PhD; Franziska Heidemann, MD, PhD; Tilo Kölbel, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2021)

Bail-out technique to detach a locked Viabahn endoprosthesis in branched thoracic endovascular aortic repair

Wolf Eilenberg, MD, PhD,
Giuseppe Panuccio, MD, PhD,
Fiona Rohlffs, MD, PhD,
Ahmed S. Eleshra, MD, PhD,
Franziska Heidemann, MD, PhD,
Tilo Kölbel, MD, PhD

Affiliations

Wolf Eilenberg, MD, PhD: Correspondence: Wolf Eilenberg, MD, PhD, FEBVs, German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg, Eppendorf, Martinistraße 52, 20246 Hamburg, Germany; Department of General Surgery, Division of Vascular Surgery, Medical University of Vienna, Währinger Gürtel 18-20, A-1090 Vienna, Austria; German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany
Giuseppe Panuccio, MD, PhD: German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany
Fiona Rohlffs, MD, PhD: German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany
Ahmed S. Eleshra, MD, PhD: German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany
Franziska Heidemann, MD, PhD: German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany
Tilo Kölbel, MD, PhD: German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany

Journal volume & issue: Vol. 7, no. 4
pp. 593 – 596

Abstract

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A 69-year-old female patient presented with a 5.8 cm thoracoabdominal aortic aneurysm Crawford type II after partial arch replacement. She was treated by a branched thoracic endovascular aortic repair procedure using a branched arch endograft with one retrograde branch to the left subclavian artery. After deployment of a Viabahn as a bridging covered stent to the left subclavian artery, the deployment line did not detach and the delivery catheter could not be removed. With the use of a physician-modified sidehole catheter and balloon fixation, the pulling line could be released without displacement of the Viabahn endoprosthesis.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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