一个分离的髂分支装置鼻锥的保护检索

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-05-06 DOI:10.1016/j.jvscit.2025.101835

Leonardo Pasquetti MD, Edoardo Pasqui MD, Giuseppe Galzerano MD, Bruno Gargiulo MD, Cecilia Molino MD, Gianmarco de Donato MD

{"title":"一个分离的髂分支装置鼻锥的保护检索","authors":"Leonardo Pasquetti MD, Edoardo Pasqui MD, Giuseppe Galzerano MD, Bruno Gargiulo MD, Cecilia Molino MD, Gianmarco de Donato MD","doi":"10.1016/j.jvscit.2025.101835","DOIUrl":null,"url":null,"abstract":"<div><div>The detachment of components of endovascular devices is a rare but potentially harmful complication. This report describes a clinical case of nosecone detachment from an iliac branch device delivery system during an aortoiliac aneurysm exclusion in a 73-year-old male patient. After correct deployment, the iliac branch device nosecone detached during the removal of the delivery system. The guidewire was snared from the contralateral side, and two long sheaths were advanced to trap and protect the fractured piece, ensuring nice alignment and enabling its safe removal. This case highlights key strategies for managing serious complications encountered during endovascular aortic repair.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 4","pages":"Article 101835"},"PeriodicalIF":0.7000,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Protected retrieval of a detached iliac branch device nosecone\",\"authors\":\"Leonardo Pasquetti MD, Edoardo Pasqui MD, Giuseppe Galzerano MD, Bruno Gargiulo MD, Cecilia Molino MD, Gianmarco de Donato MD\",\"doi\":\"10.1016/j.jvscit.2025.101835\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>The detachment of components of endovascular devices is a rare but potentially harmful complication. This report describes a clinical case of nosecone detachment from an iliac branch device delivery system during an aortoiliac aneurysm exclusion in a 73-year-old male patient. After correct deployment, the iliac branch device nosecone detached during the removal of the delivery system. The guidewire was snared from the contralateral side, and two long sheaths were advanced to trap and protect the fractured piece, ensuring nice alignment and enabling its safe removal. This case highlights key strategies for managing serious complications encountered during endovascular aortic repair.</div></div>\",\"PeriodicalId\":45071,\"journal\":{\"name\":\"Journal of Vascular Surgery Cases Innovations and Techniques\",\"volume\":\"11 4\",\"pages\":\"Article 101835\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-05-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Vascular Surgery Cases Innovations and Techniques\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2468428725001170\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Surgery Cases Innovations and Techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468428725001170","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

摘要

血管内装置部件的脱离是一种罕见但有潜在危害的并发症。本报告描述了一个73岁男性患者在主动脉髂动脉瘤排除术中鼻锥脱离髂分支装置输送系统的临床病例。正确部署后，髂分支装置鼻锥在移除输送系统时分离。导丝从对侧进行诱捕，两个长护套用于诱捕和保护断裂部分，确保良好的对齐并使其安全移除。本病例强调了处理血管内主动脉修复过程中遇到的严重并发症的关键策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Protected retrieval of a detached iliac branch device nosecone

The detachment of components of endovascular devices is a rare but potentially harmful complication. This report describes a clinical case of nosecone detachment from an iliac branch device delivery system during an aortoiliac aneurysm exclusion in a 73-year-old male patient. After correct deployment, the iliac branch device nosecone detached during the removal of the delivery system. The guidewire was snared from the contralateral side, and two long sheaths were advanced to trap and protect the fractured piece, ensuring nice alignment and enabling its safe removal. This case highlights key strategies for managing serious complications encountered during endovascular aortic repair.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.