The following information was reported to gore: on (b)(6) 2018 a patient was undergoing endovascular treatment of an abdominal aortic aneurysm.Adjunctively the patient was intended to be treated with a gore® viabahn® endoprosthesis for a heavily calcified external iliac artery stenosis.The device was advanced over a.035¿ amplatz wire through an 18fr sheath to the target location.When deployment was initiated, the middle section of the endoprosthesis expanded, while the proximal and distal sections remained constrained, since there was a large sheath in place, it was decided it may be possible to remove this device.When the device was pulled back, the distal end began expanding.At this point the device was partially outside of the patient¿s body, in the likeness of a conduit.It was then possible to advance another viabahn, inside, to connect to the leading end of the first device to complete the treatment.The endoprosthesis segment that was outside of the body was cut off.The access site was repaired with a cardiovascular patch and the groin incision was closed.The patient tolerated the procedure.
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