Total Viabahn endoprosthesis collapse.

Abstract:

:We present a case of Viabahn (W. L. Gore & Associates, Flagstaff, Ariz) collapse during popliteal artery aneurysm treatment. An elderly man with severe comorbidities presented with a 34-mm popliteal artery aneurysm. Proximal and distal landing sites of 11 and 9 mm, respectively, demonstrated by preoperative computed tomography angiography were confirmed by intraoperative angiography. After Viabahn deployment, angiography revealed a filling defect in the distal popliteal graft with poor flow. Balloon dilatation failed. A femoropopliteal bypass with aneurysm ligation was performed. Transection of the distal popliteal vessel demonstrated complete infolding. Our choice of grafts represented 15% to 18% proximal and distal oversizing. Focal areas of relative vessel narrowing may lead to incomplete graft unfolding and graft failure.

journal_name

J Vasc Surg

authors

Ranson ME,Adelman MA,Cayne NS,Maldonado TS,Muhs BE

doi

10.1016/j.jvs.2007.08.024

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

454-6

issue

2

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(07)01352-3

journal_volume

47

pub_type

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