FDA Adverse Event Death Summary report: N

TALENT THORACIC STENT GRAFT SYSTEM

MDR report key: 2133356 · Received June 14, 2011

Report

Report Number
2953200-2011-01141
Event Type
Death
Date Received
June 14, 2011
Date of Event
May 16, 2011
Report Date
May 16, 2011
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P070007
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). EVAL, RESULTS: (DEATH, OCCLUSION), (MODERATE AMOUNT OF THROMBUS, NARROW ILIAC VESSELS). CONCLUSIONS: (MODERATE AMOUNT OF THROMBUS, NARROW ILIAC VESSELS).

Description of Event or Problem · 1

A TALENT CAPTIVIA THORACIC STENT GRAFT SYSTEM WAS IMPLANTED IN A PT FOR THE ENDOVASCULAR TREATMENT OF A 6 CM IN DIAMETER THORACIC AORTIC ANEURYSM EXTENDING FROM APPROX 2 CM DISTAL TO THE LEFT SUBCLAVIAN TO THE CELIAC ARTERY APPROX ONE MONTH AGO. THE VESSEL MORPHOLOGY WAS REPORTED AS THE AORTA HAD A STEEP ARCH, AND THE AORTIC NECK WAS 35-36 MM IN DIAMETER. THERE WAS A MODERATE AMOUNT OF THROMBUS THROUGHOUT THE AORTA. ILIACS WERE 6.5 MM IN DIAMETER W/O CALCIFICATION OR TORTUOSITY. THE STENT GRAFT WAS SUCCESSFULLY IMPLANTED VIA THE LEFT SIDE, WHICH WAS THE BETTER OF THE TWO ILIACS. DUE TO THE NARROW ILIAC DIAMETER, THE 24 FR TALENT CAPTIVIA DEVICE (REF MFR# 2953200-2011-01140) HAD A LITTLE RESISTANCE WHEN BEING ADVANCED. HOWEVER, THE DEVICE WAS ABLE TO BE DELIVERED TO THE INTENDED LANDING ZONE W/O KINKING. THE 25 FR DISTAL TALENT DEVICE (REF MFR #2953200-2011-01141) COULD NOT BE ADVANCED AT ALL BUT DID NOT KINK. A RETROPERITONEAL INCISION AND CONDUIT WERE THEN USED, AND THE DISTAL MAIN WAS THEN DELIVERED AND DEPLOYED W/O ISSUES. LATER THE EVENING, THE PT HAD A LARGE LEFT FRONTAL CEREBRAL INFARCTION. A RADIOLOGIST COMMENTED THAT THERE MIGHT HAVE BEEN EMBOLI GOING UP THE LEFT CAROTID ARTERY. IT WAS REPORTED THAT THE NINE DAYS POST STENT GRAFT IMPLANT, THE PT EXPIRED DUE TO A LARGE CEREBRAL INFARCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT THORACIC STENT GRAFT SYSTEM MIH MEDTRONIC IRELAND NA V00505538

Patients

Seq Age Sex Outcome Treatment
1 72 YR Death| R