title: Unexpected complication with the new C3 excluder: cause and treatment.
abstract: The new C3 Gore Excluder delivery system enables both up/downward and rotational repositioning of the device before complete deployment. This contributes to more precise proximal landing and permits facilitation of the contralateral gate cannulation. During separate deployment, the position of the ipsilateral limb can also be readjusted. We have used the modified C3 delivery system in more than 50 patients, and in most cases, we were able to utilize the repositioning options of the device to achieve optimal fixation and sealing. However, we present a case where our attempt to readjust the position of the ipsilateral limb led to upward migration of the main body with coverage of the left renal artery origin. The latter was secured with a bare stent implantation.
authors.affiliation: Department of Vascular Surgery, Klinikum Nürnberg Süd, Breslauer Strasse 201, 90471, Nuremberg, Germany.
authors.forename: Athanasios
authors.initials: A
authors.lastname: Katsargyris
authors.forename: Kyriakos
authors.initials: K
authors.lastname: Oikonomou
authors.forename: Umberto M
authors.initials: UM
authors.lastname: Bracale
authors.forename: Eric L G
authors.initials: EL
authors.lastname: Verhoeven
mesh_terms: D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D007083:Iliac Artery; D008297:Male; D012077:Renal Artery; D015607:Stents; D014654:Vascular Patency