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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
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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
√
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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
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Ø 8mm
22mm
Ø 6mm
19mm
device inside device outside
Colt docking station for TAAA
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Colt for failed EVAS
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distal end of Colt device
bifurcated connection22
18
12
1012
12
contralateral leg
Nellix device
20
16
12
1012
12
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CASE 1
• 80yo male• h/o EVAS two years before, • Type Ia endoleak, migration of Nellix device, aneurysm sac enlargment
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• 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
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• Introduction of Colt system (24F)through the right Nellix
• Positioning of the Colt deviceC-arm lateral view
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• LRA cannulation
• Implantation of two Viabahns 7x100
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• RRA cannulation
• Implantation of two Viabahns 7x100
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• Implantation of two Viabahns 8x150 into SMA
and Viabahn 8x100 and E-ventus 8x57 into celiac trunk
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• Implantation of bifurcated distal Colt extension through the right Nellix –
• the upper one
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Dyna CT
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Control CTA after one month
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CASE 2 • 71yo male• h/o EVAS three years before, • Type Ia endoleak, migration of Nellix device
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• The Colt can be used as another option for failed EVAS when
Nellix explantation and NINA (Nellix in Nellix application), are
not feasible.
Conclusion
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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