Work

Looping Stent as a Bailout Manoeuvre Following Carotid Stent Dislocation During Complex Arch Endografting

Year: 2025

Type: article

Abstract: Endovascular aortic arch repair using branched devices is an emerging alternative to open surgery in selected high risk patients. Although bridging stent complications are well described during follow up of fenestrated or branched repairs, intra-operative events are still rarely reported. A rare case of intra-operative disconnection of a carotid bridging stent during total endovascular aortic arch repair using a custom made three branch endograft is reported. The complication was caused by guidewire entanglement during challenging catheterisation of a dissected left subclavian artery. Prompt recognition and successful endovascular correction avoided major complications. This case highlights a potential pitfall during branched endovascular repair. Awareness of such intra-operative risks is essential to prevent technical failure in this challenging and evolving field. • Rare intra-operative disconnection of a carotid bridging stent during arch repair. • Bailout with looping configuration of multiple covered stents restored patency. • Emphasises caution with guidewire loops during branched endovascular procedures. • First report of this complication during total endovascular aortic arch repair.

Source: EJVES Vascular Forum

DOI: 10.1016/j.ejvsvf.2025.12.003

Authors: Louise Koskas, Alexandre Oliny, Stéphan Haulon

Institutions: Hôpital Marie Lannelongue, Hôpital Paris Saint-Joseph, Inserm, Université Paris-Saclay

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,045