First implantation of Gore Hybrid Vascular Graft in the right vertebral artery for cerebral debranching in a patient with Loeys-Dietz syndrome.

Abstract

A 53-year-old woman with Loeys-Dietz syndrome developed progressive subclavian artery aneurysm and common carotid artery dissection. She was treated successfully by plugging and coiling of the subclavian aneurysm and its side branches after combined cervical debranching using standard carotid-axillary bypass and Gore Hybrid Vascular Graft for vertebral revascularization. Follow-up control (4 weeks) documented patent debranching, and only minimal residual flow in the subclavian aneurysm. The described off-label use for sutureless cerebral revascularisation of the vertebral artery might be a fast, simple, and reliable solution for cervical debranching in selective challenging patients. Further studies are necessary to evaluate side effects and durability.

• Authors: Sabine Wipper, Oliver Ahlbrecht, Tito Kölbel, Axel Pflugradt, Yskert von Kodolitsch, E Sebastian Debus
• Journal: Journal of vascular surgery (J Vasc Surg) Vol. 61 Issue 3 Pg. 793-5 (Mar 2015) ISSN: 1097-6809 [Electronic] United States
• PMID: 24239520 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.

Chemical References

• Alloys
• nitinol

Topics

• Alloys
• Axillary Artery (diagnostic imaging, surgery)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (instrumentation)
• Carotid Artery, Common (diagnostic imaging, surgery)
• Embolization, Therapeutic
• Female
• Humans
• Loeys-Dietz Syndrome (complications, diagnosis, surgery)
• Middle Aged
• Prosthesis Design
• Radiography
• Reoperation
• Suture Techniques
• Treatment Outcome
• Vertebral Artery (diagnostic imaging, surgery)