FDA Adverse Event Injury Summary report: N

GORE® TAG® CONFORMABLE THORACIC STENT GRAFT WITH ACTIVE CONTROL SYSTEM

MDR report key: 13938988 · Received March 29, 2022

Report

Report Number
2017233-2022-02834
Event Type
Injury
Date Received
March 29, 2022
Date of Event
March 3, 2022
Report Date
June 27, 2022
Manufacturer
W. L. GORE & ASSOCIATES, INC.
Product Code
MIH
PMA / PMN Number
P040043
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4).

Additional Manufacturer Narrative · 0

ADDED G3/G4, H1/H2, H6: ATTACHED LITERATURE ARTICLE: "OPEN TACKING OF A MIGRATED THORACIC ENDOVASCULAR AORTIC GRAFT"; JOHN M. TRAHANAS, CHRISTOPHER J. KWOLEK, AND GEORGE TOLIS, ANN VASC SURG 2020; 63: 461.E7¿461.E9.

Description of Event or Problem · 0

THE FOLLOWING ARTICLE WAS REVIEWED. OPEN TACKING OF A MIGRATED THORACIC ENDOVASCULAR AORTIC GRAFTS, JOHN TRAHANAS ET AL, ANNALS OF VASCULAR SURGERY. 2020. BACKGROUND: COMPLICATIONS OF THORACIC ENDOVASCULAR AORTIC REPAIR (TEVAR) ARE BEGINNING TO EMERGE AS NOVEL VASCULAR ISSUES. WHILE ENDOVASCULAR SOLUTIONS EXIST FOR MOST, SOME GRAFT COMPLICATIONS REQUIRE A MORE TRADITIONAL OPEN SOLUTION. THESE OPERATIONS ARE MOST COMMONLY PERFORMED FOR ENDOLEAK OR DISEASE PROGRESSION. MUCH LESS FREQUENTLY OBSERVED IS THE MIGRATION OF THE ENDOGRAFT REQUIRING OPEN REINTERVENTION. HEREIN WE PRESENT A CASE OF A PROXIMALLY MIGRATED TEVAR GRAFT, WHICH REQUIRED OPEN FIXATION UNDER DEEP HYPOTHERMIC CIRCULATORY ARREST (DHCA).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2901401 GORE® TAG® CONFORMABLE THORACIC STENT GRAFT WITH ACTIVE CONTROL SYSTEM SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH W. L. GORE & ASSOCIATES, INC.

Patients

Seq Age Sex Outcome Treatment
1 46 YR Female Required Intervention