Table VI.
Details of type 1 intraoperative adverse events (IOAEs) (problems with target vessel cannulation) and clinical consequences
Type of IOAE | Number of events (n = 22) | Intraoperative treatment | Consequences for target vessel and related outcomes | Clinical outcomes |
---|---|---|---|---|
RA occlusion or dissection | 10 | Thrombolysis: 4 Thrombolysis and thromboaspiration: 2 Thrombolysis and additional stent placement: 2 Additional stent placement: 2 |
Remained patent: 8 | Dialysis: 1 Permanently reduced renal function: 1 Temporarily reduced renal function: 2 No impact on renal function: 4 |
Target vessel lost: 2 | Permanently reduced renal function: 1 Temporarily reduced renal function: 1 |
|||
SMA dissection | 1 | Additional sent placement | Remained patent | Asymptomatic |
RA cannulation failure | 3 | — | Target vessel lost: 3 | Death: 2 Permanent reduced renal function: 1 |
SMA cannulation failure | 1 | Bailout chimney stent | Remained patent | Death |
RA rupture | 2 | Additional stent placement: 1 | Remained patent | Asymptomatic |
Distal coil embolization: 1 | Remained patent | Temporarily reduced renal function: 1 | ||
Other difficulties during target vessel cannulation | Difficult cannulation of both RAs Mispositioning of a scallop dedicated to SMA Scallop deployed in posterior position Two stents for two right RAs in the same fenestration RRA stented through a scallop dedicated to SMA |
— — — Endovascular occlusion of the nonstented fenestration SMA stented through the same scallop |
Remained patent Partial covering of the SMA Remained patent Remained patent Remained patent |
Long operation, acute compartment syndrome requiring fasciotomies Reintervention for SMA stenting Asymptomatic Asymptomatic Asymptomatic |
RA, Renal artery; RRA, right renal artery; SMA, superior mesenteric artery.