FDA Adverse Event Death Summary report: N

RELIANT BALLOON

MDR report key: 3623194 · Received February 11, 2014

Report

Report Number
2953200-2014-00218
Event Type
Death
Date Received
February 11, 2014
Date of Event
October 16, 2012
Report Date
January 17, 2014
Manufacturer
MEDTRONIC IRELAND
Product Code
DQY
PMA / PMN Number
K050038
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
EZ
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DATE OF DEATH IS UNKNOWN. (B)(4). EVALUATION RESULTS: INHERENT RISK OF PROCEDURE (DEATH, CONVERSION). PATIENT'S CONDITION AFFECTED EFFECTIVENESS OF DEVICE (ANATOMY RELATED; SHORT AND ANGULATED PROXIMAL AORTIC NECK). EVALUATION CONCLUSION: DEVICE FAILURE/LACK OF EFFECTIVENESS RELATED TO PATIENT CONDITION (ANATOMY RELATED; SHORT AND ANGULATED PROXIMAL AORTIC NECK). KNOWN INHERENT RISK OF A PROCEDURE (DEATH, CONVERSION).

Description of Event or Problem · 1

THE FOLLOWING INFORMATION WAS OBTAINED FROM A JOURNAL ARTICLE. LONG-TERM EXPERIENCE WITH ENDOVASCULAR THERAPY OF THE DESCENDING THORACIC AORTA. JAN RAUPACH, JAN VOJACEK, MIROSLAV LOJIK, JAN HARRER, VENDELIN CHOVANEC, ALEXANDER FERKO, PETR HOFFMANN, PAVEL RY¿KA, ONDREJ RENC, ANTONIN KRAJINA. THE FOLLOWING ADVERSE EVENTS WERE OBSERVED: DEATH, CONVERSION. NO FURTHER INFORMATION IS AVAILABLE FOR THIS EVENT. BACKGROUND: TO REVIEW SINGLE CENTRE EXPERIENCE OF ENDOVASCULAR TREATMENT OF DESCENDING THORACIC AORTA. METHODS: BETWEEN (B)(6) 1999 AND (B)(6) 2012, 72 PATIENTS WERE TREATED OVERALL (53 MEN, 19 WOMEN, MEAN AGE 60.1 YEARS) FOR DEGENERATIVE ANEURYSMS (N = 5), RUPTURED ANEURYSMS (N = 4), AORTIC ULCERS (N = 8), INFECTED ANEURYSMS (N = 4), TYPE B AORTIC DISSECTIONS (N = 23), AND TRAUMATIC AORTIC INJURIES (N = 28). RESULTS: THE TECHNICAL SUCCESS RATE WAS 98.6%, 30-DAY MORTALITY WAS 8.3%, 1-YEAR MORTALITY WAS 13.8%, AND OVERALL MORTALITY WAS 22.2%. MORTALITY CAUSED BY THE TREATMENT OF AORTIC DISEASES WAS 6.9%. PERMANENT STROKE OCCURRED IN 1 PATIENT, AND PARAPLEGIA DEVELOPED IN 1 PATIENT. IN A GROUP OF 23 PATIENTS WHOSE LEFT SUBCLAVIAN ARTERY (LSA) WAS COVERED, CLAUDICATION OF THE LEFT UPPER EXTREMITY DEVELOPED IN 2 CASES. CONCLUSIONS: ENDOVASCULAR THERAPY OFFERS A VERY EFFECTIVE AND LESS INVASIVE ALTERNATIVE TO THE SURGICAL APPROACH FOR A WIDE RANGE OF THE THORACIC AORTIC DISEASE. THE MAIN ADVANTAGE OF USING TEVAR SEEMS TO BE IN ACUTE CONDITIONS WHEN A STENT GRAFT STABILIZES THE AORTA AND PREVENTS FURTHER BLEEDING AND ORGAN ISCHEMIA. REGULAR FOLLOW-UP IS MANDATORY FOR EARLY RECOGNITION OF SPECIFIC TEVAR COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
90272 RELIANT BALLOON CATHETER, PERCUTANEOUS DQY MEDTRONIC IRELAND

Patients

Seq Age Sex Outcome Treatment
1 00060 YR Death