Maldeployment of the TAG thoracic endograft

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Presentation transcript:

Maldeployment of the TAG thoracic endograft W. Anthony Lee, MD, Tomas D. Martin, MD, Philip J. Hess, MD, Thomas M. Beaver, MD, Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 46, Issue 5, Pages 1032-1035 (November 2007) DOI: 10.1016/j.jvs.2007.06.035 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 The Sim-Pull string that is used to deploy the TAG device. A single strand is used to stitch the seam and exits out of the distal end of the delivery catheter. Journal of Vascular Surgery 2007 46, 1032-1035DOI: (10.1016/j.jvs.2007.06.035) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Initial aortogram showing the aneurysm and the extra-anatomic revascularization of the arch vessels. B, The 31 × 100 mm TAG device being delivered to the proximal arch. C, The proximal end of the TAG device remains undeployed. Journal of Vascular Surgery 2007 46, 1032-1035DOI: (10.1016/j.jvs.2007.06.035) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 A, Undeployed TAG device in the proximal descending thoracic aorta. B, The proximal end of the device remains constrained. C, A 12-mm balloon is used to break the loop and fully deploy the device. Journal of Vascular Surgery 2007 46, 1032-1035DOI: (10.1016/j.jvs.2007.06.035) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 The second device also failed to deploy completely within the first device, which also did not deploy. Journal of Vascular Surgery 2007 46, 1032-1035DOI: (10.1016/j.jvs.2007.06.035) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions