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

Pavan Rasalkar Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Krishna Santosh Vemuri Departement of Cardiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.
Dinakar Bootla Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Pruthvi C Revaiah Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Anand Kumar Mishra Department of Cardiothoracic Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Neelam Dahiya Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Soumitra Ghosh Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Parag Barwad Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

DOI: https://doi.org/10.18502/jthc.v17i3.10848

Keywords: TEVAR; False lumen implantation; Brockenbrough needle; Endovascular rescue

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.