Sandwich stent located in the iliac artery dislodged into the thoracic aorta and its remedy.

Autor: Gong HB; Department of Vascular Surgery, Wuxi People's Hospital Affiliated to Nanjing Medical University, 299 Qingyang Road, Box 214000, Wuxi City, Jiangsu Province China., Lu HJ; Department of Vascular Surgery, Wuxi People's Hospital Affiliated to Nanjing Medical University, 299 Qingyang Road, Box 214000, Wuxi City, Jiangsu Province China., Hu YL; Department of Vascular Surgery, Wuxi People's Hospital Affiliated to Nanjing Medical University, 299 Qingyang Road, Box 214000, Wuxi City, Jiangsu Province China.
Jazyk: angličtina
Zdroj: Indian journal of thoracic and cardiovascular surgery [Indian J Thorac Cardiovasc Surg] 2023 May; Vol. 39 (3), pp. 293-295. Date of Electronic Publication: 2023 Feb 03.
DOI: 10.1007/s12055-023-01472-0
Abstrakt: The sandwich stent technique is a commonly used method to preserve unilateral internal iliac artery flow when treating iliac artery aneurysm. In this case, covered stent grafts (Viabahn, Gore) were used to build the iliac limb of a sandwich stent. However, if Viabahn is released without long sheath protection, the trigger wire is easily wound on another stent, resulting in the Viabahn delivery system being inseparable from the stent. If we drag it forcefully, it would easily cause the entire sandwich stent graft to shift or even fall into the thoracic aorta. This complication is catastrophic. Here we report the case of a patient whose sandwich stent system disengaged and entered the thoracic aorta. We took corresponding measures to remedy it.
Competing Interests: Conflict of interestThe authors declare that they have no conflicts of interest.
(© Indian Association of Cardiovascular-Thoracic Surgeons 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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