4/14/2016 Disclosures • US Patent and Applications Pending: U.S. Pat. App. No. 13706036 - Debranching Stent Graft Limb and - The Case I Wish I Wouldn’t Have Methods for Use U.S. Pat. App. No. 13706086 - Visceral Double-Barreled Main Body - Stent Graft and Methods for Use Started 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 Patrick W. Kelly, MD, FACS 63yr Old Very Active Male 1
4/14/2016 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 2
4/14/2016 First Iliac Debranch Done Second Branch Iliac Placed 3
4/14/2016 Trapping of Goose Neck Snare Behind Fracture of IIA Bridging Stent Shaft The SuperRenal Fixation Stent Jailing of the Contralateral Limb 4
4/14/2016 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 Thank You Stent From The Delivery Shaft • Goose Neck Snare Caught Behind The Super-Renal Fixation Stent • Jailing of the Contralateral Gate 5
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