The patient was presented with a long occlusion within the right superficial femoral artery which was intended to be treated with a gore® viabahn® endoprosthesis.The medical device was inserted through a 6fr introducer sheath, where a cross over approach was used, and advanced to the target lesion over a 0.018 guidewire (victoray).After implantation of the gore® viabahn® endoprosthesis it was recognized that the occluded lesion is too long to be treated with just one medical device.Therefore a second gore® viabahn® endoprosthesis was implanted.It was sated that no abnormalities were recognized during device insertion, advancement and deplyoment.It was reported to gore that after 3 minutes of device implantation, both gore® viabahn® endoprostheses partially occluded.After 15 minutes a total occlusion of the devices were diagnosed.It was stated that a recanalisation was performed unsuccessfully.Consequently, the patient underwent a bypass procedure.It was reported to gore that the patient did not received acetylsalicylic acid or platelet (function) inhibitors.The hospital will investigate further if a heparin-induced thrombocytopenia type ii might be the reason for the early device occlusion.The patient was doing well following the procedure.
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