TRAILBLAZER
Report
- Report Number
- 2183870-2017-00052
- Event Type
- Injury
- Date Received
- February 1, 2017
- Date of Event
- October 15, 2016
- Report Date
- January 4, 2017
- Manufacturer
- COVIDIEN
- Product Code
- DQY
- PMA / PMN Number
- K092299
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHYSICIAN
Narratives
MEDIAN AGE = 56 (RANGE 29-80 YEARS). GENDER = 17/24 MALE. JOURNAL ARTICLE TITLE: OUTCOMES OF STENT PLACEMENT FOR CHRONIC OCCLUSION OF A FILTER-BEARING INFERIOR VENA CAVA IN PATIENTS WITH SEVERE POST-THROMBOTIC SYNDROME. K. YE, X. LU, W. LI, M. YIN, X. LIU, J. QIN, G. LIU, M. JIANG EUR J VASC ENDOVASC SURG (2016) 52, 839E846 .
IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
A RETROSPECTIVE ANALYSIS OF 24 PATIENTS WITH SEVERE PTS ASSOCIATED WITH OCCLUSION OF A FILTER-BEARING IVC TREATED BY STENT PLACEMENT WAS CONDUCTED AT A SINGLE INSTITUTION. AFTER VEIN PUNCTURE WAS SUCCESSFULLY ACHIEVED, HEPARIN SODIUM (80 IU/KG) WAS ADMINISTERED TO ACHIEVE AN ACTIVATED CLOTTING TIME OF 250E300 S IN ALL PATIENTS. BRIEFLY, A STRAIGHT STIFF 0.035-INCH HYDROPHILIC GUIDE WIRE WAS DIRECTED THROUGH THE OCCLUSION OF THE ILIOFEMORAL VEIN UNDER THE GUIDANCE OF A MATCHED MULTIPURPOSE CATHETER OR TRAILBLAZER CATHETER. THEN, THE GUIDE WIRE WAS USED TO TRACK ALONG THE IVC CENTRALLY UNTIL THE OCCLUSION OF THE FILTER-BEARING IVC HAD BEEN CROSSED. ALL PATIENTS TOLERATED THE PROCEDURE WELL, AND NO MAJOR COMPLICATIONS WERE ENCOUNTERED. SPECIFICALLY, NO PERIOPERATIVE DEATHS OR SYMPTOMATIC PE OCCURRED. THERE WAS NO CLINICALLY APPARENT PROCEDURE-RELATED BLEEDING, AND NO ACCESS COMPLICATIONS REQUIRING INTERVENTION, AND NO FILTER PERFORATION OCCURRED DURING FOLLOW-UP OF VENOUS CT ANGIOGRAPHY. MINOR COMPLICATIONS INS SOME PATIENTS INCLUDING VENOUS PERFORATION. VENOUS PERFORATION WAS RESOLVED IN ALL CASES WITHOUT SEQUELAE AFTER BALLOON ANGIOPLASTY AND STENT PLACEMENT FOR THE OCCLUDED FILTER-BEARING IVC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 75991 | TRAILBLAZER | CATHETER, PERCUTANEOUS | DQY | COVIDIEN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 YR | Required Intervention |