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J Vasc Surg Cases Innov Tech. 2021 Jul 01;7(4):593-596. doi: 10.1016/j.jvscit.2021.06.006. eCollection 2021 Dec.

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

Journal of vascular surgery cases and innovative techniques

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

Affiliations

  1. German Aortic Center, Department of Vascular Medicine, University Heart and Vascular Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

PMID: 34693084 PMCID: PMC8515410 DOI: 10.1016/j.jvscit.2021.06.006

Abstract

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.

© 2021 Published by Elsevier Inc. on behalf of Society for Vascular Surgery.

Keywords: Abdominal aortic aneurysm; Aortic aneurysm; Aortic dissection; Endovascular therapy; Outback catheter; TEVAR

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