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Related Experiment Video

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Incomplete Excluder limb graft deployment: cause and solution.

Chris Klonaris1, Athanasios Katsargyris1, Andreas Koutsoumpelis1

  • 1Vascular Division, 1st Department of Surgery, Laiko Hospital, Athens University Medical School, Athens, Greece.

Annals of Vascular Surgery
|November 9, 2013
PubMed
Summary
This summary is machine-generated.

A rare complication occurred during Excluder stent graft deployment due to interference with a prior iliac stent, causing incomplete abdominal aortic aneurysm repair. This highlights the need for careful technique when using stent grafts in previously stented iliac arteries.

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Area of Science:

  • Vascular Surgery
  • Endovascular Interventions
  • Medical Device Technology

Background:

  • The Excluder stent graft is a common device for endovascular abdominal aortic aneurysm (AAA) repair.
  • It features a simple and reliable deployment mechanism.

Observation:

  • An unexpected complication occurred during the deployment of an Excluder limb graft.
  • The "rip cord" deployment system fractured during manipulation.

Findings:

  • The fracture was likely caused by interference with a previously placed common iliac artery stent.
  • This interference resulted in incomplete Excluder graft deployment.

Implications:

  • This case highlights a rare but significant complication of Excluder stent graft deployment in patients with prior iliac artery stenting.
  • Technical considerations are provided to manage and overcome such deployment challenges successfully.