Successful Endovascular Rescue Using the Brockenbrough Needle Following Inadvertent Stent-Graft Deployment in the False Lumen

Pavan Rasalkar; Krishna Santosh Vemuri; Dinakar Bootla; Pruthvi C Revaiah; Anand Kumar Mishra; Neelam Dahiya; Soumitra Ghosh; Parag Barwad

doi:10.18502/jthc.v17i3.10848

Successful Endovascular Rescue Using the Brockenbrough Needle Following Inadvertent Stent-Graft Deployment in the False Lumen

J Tehran Heart Cent. 2022 Jul;17(3):147-151. doi: 10.18502/jthc.v17i3.10848.

Authors

Pavan Rasalkar¹, Krishna Santosh Vemuri², Dinakar Bootla¹, Pruthvi C Revaiah¹, Anand Kumar Mishra³, Neelam Dahiya¹, Soumitra Ghosh¹, Parag Barwad¹

Affiliations

¹ Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
² Departement of Cardiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
³ Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

Inadvertent deployment of stent grafts into the false lumen during thoracic endovascular aortic repair (TEVAR) is rare and is associated with catastrophic consequences. We present a case of accidental stent-graft deployment from the true lumen into the false lumen during TEVAR, resulting in hemodynamic collapse and visceral malperfusion. We successfully performed a bailout using the Brockenbrough needle to create new access from the true lumen to the false lumen and implanted another overlapping stent graft.

Keywords: Brockenbrough needle; Endovascular rescue; False lumen implantation; Thoracic endovascular aortic repair (TEVAR).

Publication types

Case Reports