title: Endovascular repair of stent graft collapse by stent-protected angioplasty using a femoral-brachial guidewire.
abstract: This report aims to describe an effective endovascular technique to repair a stent graft collapse in the distal aortic arch. We report a case of a stent graft collapse after off-label endovascular treatment of a traumatic aortic transection using a Gore TAG endoprosthesis (oversizing 12%). The collapse was treated by off-label stent-protected angioplasty (Palmaz stent, Cordis, Miami, Fla) over a stiff guidewire, which was passed from the right femoral artery through the collapsed stent graft and out at the right brachial artery. We believe that this technique enables more precise stent deployment and is safer than the regular guidewire position in the ascending aorta.
authors.affiliation: Department of Vascular and Endovascular Surgery, University of Heidelberg, Heidelberg, Germany. drosos.kotelis@med.uni-heidelberg.de
authors.forename: Drosos
authors.initials: D
authors.lastname: Kotelis
authors.forename: Ruben
authors.initials: R
authors.lastname: Lopez-Benitez
authors.forename: Hendrik
authors.initials: H
authors.lastname: von Tengg-Kobligk
authors.forename: Philipp
authors.initials: P
authors.lastname: Geisbüsch
authors.forename: Dittmar
authors.initials: D
authors.lastname: Böckler
mesh_terms: D000063:Accidents, Traffic; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D017130:Angioplasty / Q000379:methods*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002406:Catheterization, Peripheral / Q000295:instrumentation*; D004867:Equipment Design; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D013898:Thoracic Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed