Disclosures US Patent and Applications Pending: U.S. Pat. App. - - PowerPoint PPT Presentation

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The Case I Wish I Wouldn’t Have Started

Patrick W. Kelly, MD, FACS

Disclosures

• US Patent and Applications Pending:
• U.S. Pat. App. No. 13706036 - Debranching Stent Graft Limb and

Methods for Use

• U.S. Pat. App. No. 13706086 - Visceral Double-Barreled Main Body

Stent Graft and Methods for Use

• U.S. Pat. App. No. 13706127 - Debranching Visceral Stent Graft

and Methods for Use

• U.S. Pat. App. No. 13706144 - Aortic Arch Double-Barreled Main

Body Stent Graft and Methods for Use

• U.S. Pat. App. No. 13706158 - Debranching Great Vessel Stent

Graft and Methods for Use

• U.S. Pat. App. No. 13706175 - Combination Double-Barreled and

Debranching Stent Grafts and Methods for Use

• U.S. Pat. App. No. 61740161 - Stent Deployment Device
• License Agreement With MDT

63yr Old Very Active Male

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Proximal Deployment Endo-Bypass Delayed Distal Seal

EVAR from hell

• Exposure

– Bilateral Femoral – Left Proximal Brachial

EVAR from hell

• Placement of Main Body Graft

– Uneventful

• Placement of PMEG (Bifurcated Iliac

Limb)

– Uneventful

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First Iliac Debranch Done Second Branch Iliac Placed

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Fracture of IIA Bridging Stent Shaft

Trapping of Goose Neck Snare Behind The SuperRenal Fixation Stent

Jailing of the Contralateral Limb

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At the End

• Length Of Surgery 703min
• EBL 4500cc
• Contrast Used 193cc
• Fluro Time 91.4min

EVAR from hell

• Passive Bleeding From A Sheath
• Fracture Separation Of The Undeployed

Stent From The Delivery Shaft

• Goose Neck Snare Caught Behind The

Super-Renal Fixation Stent

• Jailing of the Contralateral Gate

Thank You