The following information was reported to gore: on an unknown date, this patient underwent dialysis shunt construction using a gore® acuseal vascular graft for renal failure.On an unknown date, after eighteen months, delamination of the device was confirmed between the outer layer and the middle layer at the puncture site.On an unknown date, forty-eight months after implant, delamination of the device and occlusion were confirmed at another site.A stent graft (brand unknown) was deployed in the portion of the device where the delamination was identified.
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