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Cardiovasc Intervent Radiol

Publication date: 2013-04-01
Volume: 36 Pages: 536 - 539

Author:

Katsargyris, Athanasios
Oikonomou, Kyriakos ; Bracale, Umberto M ; Verhoeven, Eric LG

Keywords:

Aged, 80 and over, Angiography, Digital Subtraction, Aortic Aneurysm, Abdominal, Blood Vessel Prosthesis Implantation, Endovascular Procedures, Foreign-Body Migration, Humans, Iliac Artery, Male, Renal Artery, Stents, Vascular Patency, 1102 Cardiorespiratory Medicine and Haematology, Nuclear Medicine & Medical Imaging, 3201 Cardiovascular medicine and haematology

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.