Crimping and Repositioning of a Maldeployed Balloon-Expandable Arterial Stent Using a Gooseneck Snare
Purpose: To describe a technique for repositioning a fully deployed iliac stent from the infrarenal aorta into the common iliac artery (CIA). Case Report: A 58-year-old man was undergoing treatment for a significant right CIA stenosis when a 7times24-mm Palmaz Genesis medium stent was mistakenly dep...
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| Veröffentlicht in: | Journal of endovascular therapy 2005-04, Vol.12 (2), p.247-251 |
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| container_title | Journal of endovascular therapy |
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| creator | Portugaller, Horst R. Pabst, Edmund Doerfler, Otto C. Tauss, Josef Zangrando, Mario Pilger, Ernst Klein, Guenther E. |
| description | Purpose:
To describe a technique for repositioning a fully deployed iliac stent from the infrarenal aorta into the common iliac artery (CIA).
Case Report:
A 58-year-old man was undergoing treatment for a significant right CIA stenosis when a 7times24-mm Palmaz Genesis medium stent was mistakenly deployed in the infrarenal aorta. With the stent still over the guidewire, an 8times60-mm balloon catheter was placed coaxially in the stent. Via a left groin access, a 6-F vascular sheath was introduced retrograde, and a 2.5-cm Amplatz gooseneck snare was advanced into the infrarenal abdominal aorta and pulled back over the stent. The snare was tightly closed to crimp the stent onto the collapsed balloon; this maneuver was repeated several times until the stent was contracted along its entire length. The balloon/stent assembly was carefully pulled back into the right CIA, and the stent was deployed across the target lesion, although there was overlap of the left CIA. Color duplex sonography at 1 year showed no signs of significant iliac arterial stenoses on either side. The patient reported no claudication.
Conclusions:
Using a gooseneck snare, fully deployed balloon-expandable iliac stents can be recrimped on a balloon. |
| doi_str_mv | 10.1583/04-1455.1 |
| format | Article |
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To describe a technique for repositioning a fully deployed iliac stent from the infrarenal aorta into the common iliac artery (CIA).
Case Report:
A 58-year-old man was undergoing treatment for a significant right CIA stenosis when a 7times24-mm Palmaz Genesis medium stent was mistakenly deployed in the infrarenal aorta. With the stent still over the guidewire, an 8times60-mm balloon catheter was placed coaxially in the stent. Via a left groin access, a 6-F vascular sheath was introduced retrograde, and a 2.5-cm Amplatz gooseneck snare was advanced into the infrarenal abdominal aorta and pulled back over the stent. The snare was tightly closed to crimp the stent onto the collapsed balloon; this maneuver was repeated several times until the stent was contracted along its entire length. The balloon/stent assembly was carefully pulled back into the right CIA, and the stent was deployed across the target lesion, although there was overlap of the left CIA. Color duplex sonography at 1 year showed no signs of significant iliac arterial stenoses on either side. The patient reported no claudication.
Conclusions:
Using a gooseneck snare, fully deployed balloon-expandable iliac stents can be recrimped on a balloon.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/04-1455.1</identifier><identifier>PMID: 15823073</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Angioplasty, Balloon - adverse effects ; Angioplasty, Balloon - instrumentation ; Angioplasty, Balloon - methods ; Humans ; Iliac Artery ; Intermittent Claudication - diagnostic imaging ; Intermittent Claudication - therapy ; Intraoperative Complications - therapy ; Male ; Medical Errors ; Middle Aged ; Radiography ; Stents</subject><ispartof>Journal of endovascular therapy, 2005-04, Vol.12 (2), p.247-251</ispartof><rights>2005 SAGE Publications</rights><rights>Copyright Allen Press, Inc. Apr 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c341t-a9654bca3e1ca2d21704ea1c2d35fc05ce8c7fce9fb23f46805741627ca12e6b3</citedby><cites>FETCH-LOGICAL-c341t-a9654bca3e1ca2d21704ea1c2d35fc05ce8c7fce9fb23f46805741627ca12e6b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1583/04-1455.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1583/04-1455.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15823073$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Portugaller, Horst R.</creatorcontrib><creatorcontrib>Pabst, Edmund</creatorcontrib><creatorcontrib>Doerfler, Otto C.</creatorcontrib><creatorcontrib>Tauss, Josef</creatorcontrib><creatorcontrib>Zangrando, Mario</creatorcontrib><creatorcontrib>Pilger, Ernst</creatorcontrib><creatorcontrib>Klein, Guenther E.</creatorcontrib><title>Crimping and Repositioning of a Maldeployed Balloon-Expandable Arterial Stent Using a Gooseneck Snare</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To describe a technique for repositioning a fully deployed iliac stent from the infrarenal aorta into the common iliac artery (CIA).
Case Report:
A 58-year-old man was undergoing treatment for a significant right CIA stenosis when a 7times24-mm Palmaz Genesis medium stent was mistakenly deployed in the infrarenal aorta. With the stent still over the guidewire, an 8times60-mm balloon catheter was placed coaxially in the stent. Via a left groin access, a 6-F vascular sheath was introduced retrograde, and a 2.5-cm Amplatz gooseneck snare was advanced into the infrarenal abdominal aorta and pulled back over the stent. The snare was tightly closed to crimp the stent onto the collapsed balloon; this maneuver was repeated several times until the stent was contracted along its entire length. The balloon/stent assembly was carefully pulled back into the right CIA, and the stent was deployed across the target lesion, although there was overlap of the left CIA. Color duplex sonography at 1 year showed no signs of significant iliac arterial stenoses on either side. The patient reported no claudication.
Conclusions:
Using a gooseneck snare, fully deployed balloon-expandable iliac stents can be recrimped on a balloon.</description><subject>Angioplasty, Balloon - adverse effects</subject><subject>Angioplasty, Balloon - instrumentation</subject><subject>Angioplasty, Balloon - methods</subject><subject>Humans</subject><subject>Iliac Artery</subject><subject>Intermittent Claudication - diagnostic imaging</subject><subject>Intermittent Claudication - therapy</subject><subject>Intraoperative Complications - therapy</subject><subject>Male</subject><subject>Medical Errors</subject><subject>Middle Aged</subject><subject>Radiography</subject><subject>Stents</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNplkEtLAzEQx4Movg9-AQkeBA-rmTw27VGLL1AEH-eQzc6WrWmyJlvQb-9WCwU9zTD85j_Dj5AjYOegRuKCyQKkUuewQXZBSVWAUmxz2fOyKBkf7ZC9nGeMceAA22Rn2OKCabFLcJLaedeGKbWhps_Yxdz2bQzLSWyopY_W19j5-IU1vbLexxiK689uoG3lkV6mHlNrPX3pMfT0Lf9E0dsYMwZ07_Ql2IQHZKuxPuPhqu6Tt5vr18ld8fB0ez-5fCickNAXdlwqWTkrEJzlNQfNJFpwvBaqcUw5HDndOBw3FReNLEdMaQkl184Cx7IS--T0N7dL8WOBuTfzNjv03gaMi2xKrbkWQg_gyR9wFhcpDL-ZwRAbQynFAJ39Qi7FnBM2phtk2fRlgJmleMOkWYo3MLDHq8BFNcd6Ta5Mr1_Ldorra_-TvgHrHYjU</recordid><startdate>200504</startdate><enddate>200504</enddate><creator>Portugaller, Horst R.</creator><creator>Pabst, Edmund</creator><creator>Doerfler, Otto C.</creator><creator>Tauss, Josef</creator><creator>Zangrando, Mario</creator><creator>Pilger, Ernst</creator><creator>Klein, Guenther E.</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200504</creationdate><title>Crimping and Repositioning of a Maldeployed Balloon-Expandable Arterial Stent Using a Gooseneck Snare</title><author>Portugaller, Horst R. ; Pabst, Edmund ; Doerfler, Otto C. ; Tauss, Josef ; Zangrando, Mario ; Pilger, Ernst ; Klein, Guenther E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-a9654bca3e1ca2d21704ea1c2d35fc05ce8c7fce9fb23f46805741627ca12e6b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Angioplasty, Balloon - adverse effects</topic><topic>Angioplasty, Balloon - instrumentation</topic><topic>Angioplasty, Balloon - methods</topic><topic>Humans</topic><topic>Iliac Artery</topic><topic>Intermittent Claudication - diagnostic imaging</topic><topic>Intermittent Claudication - therapy</topic><topic>Intraoperative Complications - therapy</topic><topic>Male</topic><topic>Medical Errors</topic><topic>Middle Aged</topic><topic>Radiography</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Portugaller, Horst R.</creatorcontrib><creatorcontrib>Pabst, Edmund</creatorcontrib><creatorcontrib>Doerfler, Otto C.</creatorcontrib><creatorcontrib>Tauss, Josef</creatorcontrib><creatorcontrib>Zangrando, Mario</creatorcontrib><creatorcontrib>Pilger, Ernst</creatorcontrib><creatorcontrib>Klein, Guenther E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Portugaller, Horst R.</au><au>Pabst, Edmund</au><au>Doerfler, Otto C.</au><au>Tauss, Josef</au><au>Zangrando, Mario</au><au>Pilger, Ernst</au><au>Klein, Guenther E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Crimping and Repositioning of a Maldeployed Balloon-Expandable Arterial Stent Using a Gooseneck Snare</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2005-04</date><risdate>2005</risdate><volume>12</volume><issue>2</issue><spage>247</spage><epage>251</epage><pages>247-251</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To describe a technique for repositioning a fully deployed iliac stent from the infrarenal aorta into the common iliac artery (CIA).
Case Report:
A 58-year-old man was undergoing treatment for a significant right CIA stenosis when a 7times24-mm Palmaz Genesis medium stent was mistakenly deployed in the infrarenal aorta. With the stent still over the guidewire, an 8times60-mm balloon catheter was placed coaxially in the stent. Via a left groin access, a 6-F vascular sheath was introduced retrograde, and a 2.5-cm Amplatz gooseneck snare was advanced into the infrarenal abdominal aorta and pulled back over the stent. The snare was tightly closed to crimp the stent onto the collapsed balloon; this maneuver was repeated several times until the stent was contracted along its entire length. The balloon/stent assembly was carefully pulled back into the right CIA, and the stent was deployed across the target lesion, although there was overlap of the left CIA. Color duplex sonography at 1 year showed no signs of significant iliac arterial stenoses on either side. The patient reported no claudication.
Conclusions:
Using a gooseneck snare, fully deployed balloon-expandable iliac stents can be recrimped on a balloon.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>15823073</pmid><doi>10.1583/04-1455.1</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of endovascular therapy, 2005-04, Vol.12 (2), p.247-251 |
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| subjects | Angioplasty, Balloon - adverse effects Angioplasty, Balloon - instrumentation Angioplasty, Balloon - methods Humans Iliac Artery Intermittent Claudication - diagnostic imaging Intermittent Claudication - therapy Intraoperative Complications - therapy Male Medical Errors Middle Aged Radiography Stents |
| title | Crimping and Repositioning of a Maldeployed Balloon-Expandable Arterial Stent Using a Gooseneck Snare |
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