Colt as a rescue device for failed EVAS

Piotr Szopiński, Eliza Pleban, Jarosław Iwanowski, Jacek Michalak

Clinic of Vascular Surgery, Institute of Haematology and Transfusion Medicine

Warsaw, Poland

Disclosure

Speaker name:

…………Piotr Szopiński……..

I have the following potential conflicts of interest to report:

Consulting Jotec/Cryolife

Employment in industry

Stockholder of a healthcare company

Owner of a healthcare company

Other(s)

I do not have any potential conflict of interest

√

The device is delivered through a 24-F system

E-markers

free flow

Ø 33 or 36mm

Ø 16 or 18mm

62 or 85 mm

122 or 175 or 200 mm

37 or 47 or 57 mm

Colt docking station for TAAA

Ø 8mm

22mm

Ø 6mm

19mm

device inside device outside

Colt docking station for TAAA

Colt for failed EVAS

distal end of Colt device

bifurcated connection22

18

12

1012

12

contralateral leg

Nellix device

20

16

12

1012

12

CASE 1

• 80yo male• h/o EVAS two years before, • Type Ia endoleak, migration of Nellix device, aneurysm sac enlargment

• Left axillary and bilateral femoral surgicalaccess

• through-and through wire (Terumo)

12F/45cm sheath from axillary artery

• 7F/90cm sheath into 12F

predilatation of right Nellix - Armada 12x60

• Introduction of Colt system (24F)through the right Nellix

• Positioning of the Colt deviceC-arm lateral view

• LRA cannulation

• Implantation of two Viabahns 7x100

• RRA cannulation

• Implantation of two Viabahns 7x100

• Implantation of two Viabahns 8x150 into SMA

and Viabahn 8x100 and E-ventus 8x57 into celiac trunk

• Implantation of bifurcated distal Colt extension through the right Nellix –

• the upper one

Dyna CT

Control CTA after one month

CASE 2 • 71yo male• h/o EVAS three years before, • Type Ia endoleak, migration of Nellix device

• The Colt can be used as another option for failed EVAS when

Nellix explantation and NINA (Nellix in Nellix application), are

not feasible.

Conclusion

Colt as a rescue device for failed EVAS

Piotr Szopiński, Eliza Pleban, Jarosław Iwanowski, Jacek Michalak

Clinic of Vascular Surgery, Institute of Haematology and Transfusion Medicine

Warsaw, Poland