RELIANT BALLOON
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
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).
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 |