GORE® VIABAHN® ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE
Report
- Report Number
- 2017233-2022-02830
- Event Type
- Injury
- Date Received
- March 28, 2022
- Date of Event
- November 1, 2021
- Report Date
- March 28, 2022
- Manufacturer
- W. L. GORE & ASSOCIATES, INC.
- Product Code
- NIP
- PMA / PMN Number
- P040037
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
DUE TO AN UNKNOWN LOT/SERIAL NUMBER AND NO DEVICE RETURN, AN INVESTIGATION COULD NOT BE PERFORMED. CBAS® HEPARIN SURFACE INCORPORATES CBAS-HEPARIN MANUFACTURED FROM HEPARIN SODIUM API, WHICH IS COVALENTLY BOUND TO THE DEVICE SURFACE AND IS ESSENTIALLY NON-ELUTING.
THE FOLLOWING LITERATURE WAS REVIEWED: DAIHIKO EGUCHI AND KEIJI YOSHIYA. EXPERIENCE WITH VIABAHN USE AT OUR HOSPITAL: A HUNDRED CASES FROM AUGUST 2017 THROUGH OCTOBER 5, 2020. KIDNEY AND DIALYSIS. 2021; 91 (A SEPARATE VOLUME ACCESS 2021): 180-181. INTRODUCTION IN THIS ARTICLE, WE SUMMARIZE OUR EXPERIENCE WITH USE OF GORE® VIABAHN® ENDOPROSTHESIS, PRESENT CASE EXAMPLES AND DISCUSS THE KNACKS AND PITFALLS OF ITS USE IN THE VASCULAR ACCESS INTERVENTION THERAPY (VAIVT) FIELD. DETAILS OF THE CASES VIABAHN WAS USED FOR VASCULAR INJURY FOR 32 CASES AND OTHER INDICATIONS FOR 68 CASES. VIABAHN WAS PLACED FOR ARTERIOVENOUS GRAFT IN 71 CASES AND FOR ARTERIOVENOUS FISTULA IN 29 CASES. TROUBLES DURING PROCEDURE AND POSTOPERATIVE COMPLICATIONS. TROUBLES DURING PROCEDURE A SHAFT BREAKAGE DURING INSERTION OF THE CATHETER: THE CATHETER WAS GRASPED NEAR THE TIP AND INSERTED WITH SHORT STROKES. A CATHETER UNABLE TO ADVANCE: IT WAS RESOLVED BY USING A LONG SHEATH. A BOWSTRING PHENOMENON: IT WAS RESOLVED BY USING A STIFFER GUIDEWIRE. POSTOPERATIVE COMPLICATIONS EARLY RESTENOSIS: IT MIGHT HAVE BEEN DUE TO DEVICE SIZE MISMATCH. STENT GRAFT STENOSIS: IT WAS DUE TO FIBRIN MEMBRANE DEPOSITED INSIDE THE STENT GRAFT INFECTION (3.5 MONTHS AFTER THE PROCEDURE): THE DEVICE WAS EXTRACTED SURGICALLY. MIGRATION: IT OCCURRED IN A CASE OF VIABAHN PLACEMENT IN THE CEPHALIC ARCH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 879821 | GORE® VIABAHN® ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE | STENT, SUPERFICIAL FEMORAL ARTERY | NIP | W. L. GORE & ASSOCIATES, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Hospitalization| R| O |