The following was reported to gore: on (b)(6) 2021, a female patient required treatment due to aorto-iliac disease.As reported, the patient's vessels were calcified.A covered endovascular reconstruction of aortic bifurcation (cerab) procedure was performed using multiple gore® viabahn® vbx balloon expandable endoprostheses (vbx devices).The first vbx device (11x59) was placed in the aorta and post dilated to 16mm in the proximal section.Next, two vbx devices (8l x 39) were inserted and deployed using a kissing technique configuration into the iliac arteries.Two vbx devices (8x39) were also implanted at the overlap.Images reviewed showed good results.Using the ivus, it was observed the right side was not fully expanded.Two 10mm balloons were placed into the iliac arteries that had the 8lx39 vbx devices.Images revealed on the left side, piece of calcium appeared to have pushed through the left common iliac vbx device as bleeding was coming through the stent.Additional vbx devices (8lmm x 79mm) were deployed to reline the vbx devices.The patient¿s condition was stabilized and was transferred to surgery.During the surgical conversion, it was found the patient had more issues than the focal bleeding.Ultimately, patient expired with bleeding from the left common iliac artery.Two 8x29 vbx devices were utilized in each common iliac artery, which connected to the 8x39 vbx devices before the 8x79 vbx devices were deployed.Two 8x39 vbx device lot/serial numbers were entered as it is unknown which device was placed in the left common iliac artery.
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Cbas® heparin surface incorporates cbas-heparin manufactured from heparin sodium api, which is covalently bound to the device surface and is essentially non-eluting.Patient weight was requested, but not made available.(b)(4): review of device manufacturing record history is currently in progress.The affected devices remain implanted / were not returned to gore.Therefore, direct product analysis was not possible.
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