Document Detail


Total Viabahn endoprosthesis collapse.
MedLine Citation:
PMID:  18241770     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a case of Viabahn (W. L. Gore & Associates, Flagstaff, Ariz) collapse during popliteal artery aneurysm treatment. An elderly man with severe comorbidities presented with a 34-mm popliteal artery aneurysm. Proximal and distal landing sites of 11 and 9 mm, respectively, demonstrated by preoperative computed tomography angiography were confirmed by intraoperative angiography. After Viabahn deployment, angiography revealed a filling defect in the distal popliteal graft with poor flow. Balloon dilatation failed. A femoropopliteal bypass with aneurysm ligation was performed. Transection of the distal popliteal vessel demonstrated complete infolding. Our choice of grafts represented 15% to 18% proximal and distal oversizing. Focal areas of relative vessel narrowing may lead to incomplete graft unfolding and graft failure.
Authors:
Mark E Ranson; Mark A Adelman; Neal S Cayne; Thomas S Maldonado; Bart E Muhs
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  47     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-04     Completed Date:  2008-03-13     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  454-6     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery at New York University School of Medicine, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm / physiopathology,  radiography,  surgery*
Balloon Dilation
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation
Humans
Ligation
Male
Patient Selection
Polytetrafluoroethylene
Popliteal Artery / physiopathology,  radiography,  surgery*
Prosthesis Design
Prosthesis Failure*
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Vascular Patency
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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